Paget’s bone disease: polyostotic presentation in a patient with cancer of the uterine cervix
Abstract
A 65-year-old female patient with a history of malignant cervical neoplasia and trigeminal neuralgia presents a two-year history of intermittent chronic pain in the lumbar region and left hip. On the outpatient follow-up, a radiographic study of the hip showed a sclerous bone lesion in the left iliac wing and an alkaline phosphatase activity of 225 U/L, suggestive of Paget's disease of the bone. She was hospitalized for study by bone biopsy because of the possibility of bone metastasis. The bone survey, total body multi-slice spiral CT and bone scintigraphy showed similar lesions in right lower jaw and spine. Bisphosphonates was administered with significantly improving of bone and facial pain.
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Copyright (c) 2019 Héctor Bojórquez-Castillo, María de Lourdes Trujillo-Aguirre, Anita Tarco-Virto, José Luis Paz-Ibarra
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