دورية أكاديمية

Pathological fracture due to primary bone lymphoma in a patient with a history of prostate cancer: A case report and review of literature

التفاصيل البيبلوغرافية
العنوان: Pathological fracture due to primary bone lymphoma in a patient with a history of prostate cancer: A case report and review of literature
المؤلفون: Bhakta, Pooja, Hunzeker, Zachary E., Garcia, Juan D., Youssef, Ayman, Grant, Bradley J., Alfattal, Rasha, Weaver, Dylan, Bhargava, Peeyush, Rischall, Ariel, Musunuru, Tejo, Muthukumarana, Palawinnage V., Mallick, Jayati, Lyapichev, Kirill A.
المصدر: Frontiers in Oncology ; volume 13 ; ISSN 2234-943X
بيانات النشر: Frontiers Media SA
سنة النشر: 2023
المجموعة: Frontiers (Publisher - via CrossRef)
مصطلحات موضوعية: Cancer Research, Oncology
الوصف: Primary bone lymphoma (PBL) is a rare extranodal presentation within lymphomas and primary bone malignancies. Pathologic fracture (PF) is a common complication of metastatic bone disease but is, rarely, the presentation of a primary bone tumor. We report a case of an 83-year-old man with a history of untreated prostate cancer, presenting with atraumatic fracture of his left femur after months of intermittent pains and weight loss. Radiographic workup revealed a lytic lesion suspicious for PF secondary to metastatic prostate cancer; however, initial core biopsy results were inconclusive for malignancy. A complete blood count with differential and complete metabolic panel was within normal limits. During surgical fixation and nailing of the femur, a reaming biopsy was performed as a repeat measure and revealed diffuse large B-cell lymphoma. Staging with positron emission tomography and computed tomography found no evidence of lymphatic or visceral involvement and chemotherapy was promptly initiated. This case highlights the diagnostic workup challenges for PF secondary to PBL, especially in the setting of concurrent malignancy. Because of the non-specific presentation of a lytic lesion on imaging associated with atraumatic fracture, we highlight PBL as an important diagnostic consideration.
نوع الوثيقة: article in journal/newspaper
اللغة: unknown
DOI: 10.3389/fonc.2023.1100559
DOI: 10.3389/fonc.2023.1100559/full
الإتاحة: https://doi.org/10.3389/fonc.2023.1100559Test
حقوق: https://creativecommons.org/licenses/by/4.0Test/
رقم الانضمام: edsbas.C23254A1
قاعدة البيانات: BASE