Multiple Cancers and Diffuse Bony Metastases
Twelve years ago, a man who is now 81 years old had stage II adenocarcinoma of the left breast managed by radical mastectomy. Ten years ago, he had a well-differentiated adenocarcinoma of the prostate, stage A1, treated by irradiation. He now has fatigue with pain in his left shoulder and back. Imaging studies show a large excavating mass in the right lower lobe of the lung extending to the pleura with a large effusion. Lytic and blastic lesions are seen in the thoracic and lumbar spine and the right acetabula. Bone scan reveals increased uptake in the ribs bilaterally and in the left hemipelvis. A homogeneously enlarged prostate has been found with a prostate-specific antigen (PSA) level of 5.25, elevated serum alkaline phosphatase, and a hemoglobin of 10 g/dl.
KeywordsBone Metastasis Malignant Pleural Effusion Male Breast Cancer Prostate Acid Phosphatase Bony Metastasis
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