IS Case 361: Metastatic breast cancer

Benita Tamrazi, MD

2009 URMC Imaging Sciences
Publication Date: 2010-03-02


Patient is a 44-year-old female with a history of breast carcinoma now presenting with hip pain.


Diffuse mixed sclerotic and lytic lesions of the pelvis with healing pathological left ilial and left superior pubic ramus fracture.


Metastatic breast cancer


Metastatic spread to the bones is unfortunately a common occurrence with breast cancer. The parts of the skeleton which are often involved are the spine, pelvis, femur, and humerus. On imaging, breast cancer metastasis often presents as mixed sclerotic and lytic lesions. Often, pathologic fractures can also be identified. The prognosis is poor for metastatic cancer. Treatment includes chemotherapy, radiation, bisphosphonates, and other pharmaceuticals.


  1. Brant WE, Helms, CA. Fundamentals of Diagnostic Radiology. 3rd Ed., Lippincott Williams & Wilkins, 2006.

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