Clavicle metastasis and ultrasound guided biopsy

Case contributed by Dr Ian Bickle

Presentation

Painful right shoulder over several weeks. Palpable mass.

Patient Data

Age: 70 years
Gender: Female

Permeative lesion in the lateral aspect of the clavicle with cortical irregularity and a wide zone of transition.

No soft tissue calcification or enlargement.

2.5 cm low echogenicity mass overlying extensive cortical irregularity of the clavicle.

Case Discussion

The patient attended for an ultrasound guided biopsy.  On performing the procedure there was no doubt this was osseous in origin from the 'feel' at the end of the needle tip.

Conventional biopsy needles can be usually be used on lesions when the cortex has been broken, rather than bone biopsy needles.

This was an adenocarcinoma metastasis from a lung primary.

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Case information

rID: 82612
Published: 10th Oct 2020
Last edited: 11th Oct 2020
Inclusion in quiz mode: Included

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