Metastatic prostate carcinoma: A rare presentation initially misdiagnosed as a rib fracture

Metastatic prostate carcinoma mainly occurs in bone as an osteoblastic lesion or lesions in the pelvis, spine, or chest wall. We present a unique case of a singular metastatic osteolytic lesion in the rib initially misdiagnosed as a fracture in a 61-year-old male. A single rib fracture in a patient...

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Bibliographic Details
Published in:Radiology case reports 2020-10, Vol.15 (10), p.1795-1798
Main Authors: Trent, Sarah M., Krumme, John W., Henshaw, Robert M.
Format: Article
Language:English
Subjects:
Bone metastases
Metastatic prostate carcinoma
Oncology
Osteolytic
Rib fracture
Skeleton
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Summary:Metastatic prostate carcinoma mainly occurs in bone as an osteoblastic lesion or lesions in the pelvis, spine, or chest wall. We present a unique case of a singular metastatic osteolytic lesion in the rib initially misdiagnosed as a fracture in a 61-year-old male. A single rib fracture in a patient with no history of trauma should raise suspicion for metastatic disease. We would encourage prostate cancer to be included in the differential diagnosis for an osteolytic lesion in a male over the age of 40. We review the current literature on this rare presentation of bone metastasis as well as the pathogenesis of metastatic prostate carcinoma as it relates to a solitary metastatic osteolytic lesion.
ISSN:1930-0433
1930-0433
DOI:10.1016/j.radcr.2020.07.038