Differential Diagnosis of Chronic Osteomyelitis in Manubrium of the Sternum in a Patient with Breast Cancer (Clinical Case)
https://doi.org/10.37174/2587-7593-2019-2-3-88-94
Abstract
Chronic osteomyelitis represents a progressive inflammatory process caused by pathogens, resulting in bone destruction and sequestrum formation.
A case of a 58-year-old woman with verified carcinoma of the left breast, which was treated in 2008-2009, is presented. In 2017, a focus suspicious of metastasis was detected in the left half of manubrium of the sternum by osteoscintigraphy. According to the changes in computed tomography and osteoscintigraphy, with ambiguous results of core biopsy, a decision to perform surgical treatment was made. A pathomorphological examination revealed chronic osteomyelitis of manubrium.
The case is interesting because of the complexity of the differential diagnosis of metastatic lesions in breast cancer and chronic osteomyelitis according to computed tomography.
About the Authors
R. Kh. Ulyanova
N.N. Petrov National Medical Research Oncology Center
Russian Federation
Russian Federation
St. Petersburg
A. V. Mishchenko
N.N. Petrov National Medical Research Oncology Center
Russian Federation
Russian Federation
St. Petersburg
A. V. Chernaya
N.N. Petrov National Medical Research Oncology Center
Russian Federation
Russian Federation
St. Petersburg
A. B. Kosichkina
N.N. Petrov National Medical Research Oncology Center
Russian Federation
Russian Federation
St. Petersburg
V. V. Danilov
N.N. Petrov National Medical Research Oncology Center
Russian Federation
Russian Federation
St. Petersburg
А. A. Shipilova
N.N. Petrov National Medical Research Oncology Center
Russian Federation
Russian Federation
St. Petersburg
M. I. Bisyarin
N.N. Petrov National Medical Research Oncology Center
Russian Federation
Russian Federation
St. Petersburg
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Review
For citations:
Ulyanova R.Kh., Mishchenko A.V., Chernaya A.V., Kosichkina A.B., Danilov V.V., Shipilova А.A., Bisyarin M.I. Differential Diagnosis of Chronic Osteomyelitis in Manubrium of the Sternum in a Patient with Breast Cancer (Clinical Case). Journal of oncology: diagnostic radiology and radiotherapy. 2019;2(3):88-94. (In Russ.) https://doi.org/10.37174/2587-7593-2019-2-3-88-94
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