CASE 1329 Published on 29.09.2002

Sternal metastasis from breast cancer

Section

Chest imaging

Case Type

Clinical Cases

Authors

F. Cademartiri, G. Luccichenti, P. Pavone

Patient

62 years, female

Categories
No Area of Interest ; Imaging Technique CT
Clinical History
The patient had undergone complete mastectomy of the left breast 3 years previously. At follow-up, a painful and localised mass was detected in the upper part of the sternum on clinical examination.
Imaging Findings
The patient underwent mastectomy of the left breast 3 years before. At follow-up, a painful and localised mass was detected in the upper part of the sternum on clinical examination. After conventional x-ray examination, showing an osteolytic lesion, a CT scan was performed.
Discussion
Solitary bone metastases are not a rare finding in breast cancer follow-up. These are found most frequently in the spine, the bone of thorax and the femur neck. The sternum is a rare location for solitary metastasis.

Diagnosis is mainly by nuclear imaging even if, as in this case, the history points clearly to the possibility of a metastasis from breast cancer. Biopsy confirms the nature of the osteolytic mass.

Differential Diagnosis List
Osteolytic metastasis from breast cancer
Final Diagnosis
Osteolytic metastasis from breast cancer
Case information
URL: https://www.eurorad.org/case/1329
DOI: 10.1594/EURORAD/CASE.1329
ISSN: 1563-4086

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