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ALL / Haematology

Bone metastases

Bone metastases

Most common tumour causing bone metastases (in descending order)
  • prostate
  • breast
  • lung

Most common site (in descending order)
  • spine
  • pelvis
  • ribs
  • skull
  • long bones

Other than bone pain, features may include:
  • pathological fractures
  • hypercalcaemia
  • raised ALP

Isotope bone scan (using technetium-99m labelled diphosphonates which accumulate in the bones) from a patient with metastatic prostate cancer. The scan demonstrates multiple, irregular, randomly distributed foci of high grade activity involving the spine, ribs, sternum, pelvic and femoral bones. The findings are in keeping with multiple osteoblastic metastasis.
+PassMedicine Notes
Most common tumour causing bone metastases (in descending order)
  • prostate
  • breast
  • lung
Most common site (in descending order)
  • spine
  • pelvis
  • ribs
  • skull
  • long bones
Other than bone pain, features may include:
  • pathological fractures
  • hypercalcaemia
  • raised ALP
xrb126.jpg Isotope bone scan (using technetium-99m labelled diphosphonates which accumulate in the bones) from a patient with metastatic prostate cancer. The scan demonstrates multiple, irregular, randomly distributed foci of high grade activity involving the spine, ribs, sternum, pelvic and femoral bones. The findings are in keeping with multiple osteoblastic metastasis.

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