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A rare initial presentation of gastric cancer with multiple osteolytic lesions.

Gastric cancer is the 12th leading cause of cancer-related deaths in the United States and commonly metastasizes to the bones. However, the presentation of gastric cancer as bony metastases without preceding gastrointestinal symptoms is rare which has been infrequently reported in the literature. Moreover, leptomeningeal carcinomatosis is an unusual complication of gastric cancer accounting for less than 1 percent of these patients. We present a unique case of a middle aged male who presented to the emergency department with worsening backache which started one month priorly. The only abnormal

The role of percutaneous vertebral augmentation in patients with metastatic breast cancer: Literature review including report of two cases.

Patients with metastatic breast cancer are at high risk for developing vertebral compression fractures due to underlying bone metastases and bone density loss. Vertebral augmentation techniques including percutaneous vertebroplasty and percutaneous balloon kyphoplasty are techniques used to stabilize compression fractures and improve pain. However, rare complications from these interventions have been observed, including spinal cord compression, nerve root compression, venous cement embolism, and pulmonary cement embolism. These complications pose unique potential challenges for patients with

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… Other complication related to local trauma include rib fractures which occur in <1% of cases [ 57 ]. Another complication of PMMA leakage is the development of cement emboli. …

Adverse events among older adults receiving chiropractic spinal manipulation and related treatments: an updated systematic review.

BACKGROUND: This systematic review updated adverse events (AEs) reporting in persons aged > 55 years who received chiropractic treatment, including spinal manipulation. METHODS: Protocol was registered prospectively with the Prospective Register of Systematic Reviews (PROSPERO)(CRD42024629286). Search strategy was audited with Peer Review of Electronic Search Strategies (PRESS) methodology. We searched PubMed, Cochrane Central Register of Controlled Trials, CINAHL, AMED, and Index to Chiropractic Literature on December 12, 2025. We included AEs attributed to treatment provided by chiropractors

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… Two of the reported AEs were rib fractures, 4 were cases of chest pain without rib fracture, 1 case of jaw pain, and 9 patients with increased pain to the area of chief complaint. … All of the included studies described mild events (e.g., soreness), and there was limited reporting of moderate or severe events (e.g., rib fracture). …

Резюме ESPR 2013Европейское общество педиатрической радиологии 50th Ежегодное совещание и 36th Курсы для аспирантов. Июнь 3–7 2013. Будапешт, Венгрия.

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… Kleinman Children’s Hospital Boston, USA Rib fractures are highly associated with abuse in young children. … The review found that all but one study showed that children who had rib fractures from abuse had more fractures than those who had not been abused. Rib fractures are usually occult, identified incidentally on a chest radiographs or on skeletal survey. …

Case Report: Gastrointestinal cancer initially presenting as postmenopausal osteoporosis.

BACKGROUND: Gastric cancer usually presents late with nonspecific symptoms such as epigastric discomfort, anorexia, weight loss, nausea, anemia, or gastrointestinal bleeding. Initial presentation with osteoporosis-like manifestations and multiple bone metastases in the absence of gastrointestinal symptoms is rare. CASE PRESENTATION: We report a 59-year-old postmenopausal woman who presented with thoracolumbar back pain after routine activity. Bone mineral density assessment showed osteoporosis, but laboratory evaluation revealed markedly increased bone turnover markers, including alkaline pho

Anti-fracture Efficacy of Monthly Risedronate Compared with That of Weekly Risedronate in Postmenopausal Korean Women with Osteoporosis: A Nationwide Cohort Study.

BackgroundIntermittent dosing regimens for oral risedronate (once-monthly and once-weekly) were developed for patient convenience. While several studies have reported the anti-fracture efficacy of weekly dosing, few have assessed monthly dosing. The lower efficacy of monthly dosing has been previously suggested. The aim of this study was to compare the anti-fracture efficacy of monthly and weekly dosing.MethodsWe obtained information from the Korea National Health Insurance Service database from 2012 to 2017 of Korean women of ≥50 years of age who used weekly or monthly risedronate. We compare

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… . § Non-vertebral fracture contains hip, lower leg, forearm, wrist, humerus, clavicle, and rib fractures. …

Immediate family support is important to discharge home for cancer patient with bone metastasis after rehabilitation: A retrospective study.

AbstractThe purpose of this study is to investigate the predictive factors of home discharge for rehabilitation patients with cancer bone metastasis.Cancer patients with bone metastasis who underwent rehabilitation between April 2014 and March 2017 were retrospectively enrolled. Data on discharge destination were collected from medical records as outcomes. Multiple regression analyses were carried out to investigate the predictive factors of home discharge.Ninety-eight patients (mean age: 68.6 years, 42 females and 56 males) were included. Fifty patients were discharged home, 38 patients were

First-Line Combination with Proteasome Inhibitor-Based Treatment and Zoledronic Acid Is Effective in Reducing Later Fractures in Multiple Myeloma Irrespective of Multiple Myeloma Bone Disease at Diagnosis.

The present study provides real-world evidence on the treatment of multiple myeloma (MM) bone disease with various bisphosphonates combined for different myeloma-specific treatments as no validated data regarding the best combination treatment for bone disease associated with MM are available. We examined retrospectively 345 MM patients treated with autologous stem cell transplantation in Finland during 1996-2020. The median age of the patients was 60 years with a median follow-up time of 50 months (1-339). At diagnosis, 72.1% of the patients had myeloma-associated bone disease and 45.8% had f

Severe Headache and Deterioration of Vision in Left Eye in a Chronic Hemodialysis Patient Revealing a Brown Tumor of Sphenoid Sinus.

BACKGROUND/OBJECTIVES: Brown tumors are rare bone lesions associated with hyperparathyroidism, particularly secondary hyperparathyroidism (SHPT), in chronic renal failure. While brown tumors commonly affect bones rich in marrow, the involvement of the sphenoid sinus is extremely rare and can present with neurological symptoms. This study reports a case of a sphenoid sinus brown tumor in a patient on hemodialysis, highlighting its clinical presentation and diagnostic challenges. METHODS: A 31-year-old woman undergoing chronic hemodialysis presented with a severe headache, diplopia, and progres

Синхронное тройное злоумышленничество с множественными миеломами и префиброзным первичным миелофиброзом у пациента, больного мухой молочной карциномой: доклад по делу из сельских районов Южной Африки.

Множественные первичные злокачественные новообразования (МПМН), диагностированные синхронно, встречаются редко и имеют частоту менее 1%. Происхождение тройных синхронных маньяков является чрезвычайно редким, и, насколько нам известно, ни в одном из предыдущих докладов не описывается одновременное представление о новообразовании миэлопролиферативной системы, дискразии плазменных клеток и рака молочной железы. Такие случаи сопряжены со значительными диагностическими и терапевтическими проблемами, особенно в условиях ограниченного доступа к передовым молекулярным тестам и онкологической терапии.

Extra-Axial Skeletal Metastasis of Malignant Melanoma: Case Report and Literature Review.

The incidence of malignant melanoma is increasing worldwide and is one of the major causes of skin cancer deaths in the United States. Although melanoma has the potential to metastasize to any organ, the incidence of bone metastasis is low (~25%) compared to liver or lung metastasis. However, when a bone is involved, metastasis occurs to the axial skeleton in most cases (80%-90%), and involvement of the appendicular skeleton is relatively rare. We here describe the case of a patient who presented with a pathological fracture due to extra-axial skeletal metastasis of a widespread malignant mela

Chest and Mediastinum

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Brown Tumor From Secondary Hyperparathyroidism Mimicking Metastatic Renal Cell Carcinoma in a Patient With End-Stage Renal Disease.

Brown tumors (also known as osteitis fibrosa cystica) are rare complications of end-stage renal disease (ESRD) and secondary hyperparathyroidism (HPT), characterized by focal bone lesions that resemble neoplasms. They are often misdiagnosed as metastatic bone disease, especially in patients with a history of malignancy. We present a case of a 60-year-old man with a history of renal cell carcinoma (RCC), and ESRD on hemodialysis (HD), who developed diffuse bone lesions on imaging with osteolytic/osteoblastic appearance concerning metastases, but on further workup was found to have brown tumors.

Мандибулярная плазмоцитома как первоначальное проявление несекретарской множественной миеломы: Редкая диагностика.

Плазменные клеточные новообразования, связанные с челюстями, редки, при этом мантибулярное участие представляет собой редкое первоначальное проявление системной множественной миеломы (ММ). Их неспециальная клиническая и радиография часто имитирует более распространенные одонтогенные и подстрекательские условия, что затрудняет раннюю диагностику. Мы сообщаем о случае с 81-летним мужчиной, который испытывал боль и опухоль на левой задней челюсти в течение двух месяцев. Клиническое обследование выявило диффузный отек левого челюсти и угла. Ортопантомография (ОПГ) продемонстрировала четко определе

Development and definition of a simplified scoring system in patients with multiple myeloma undergoing stem cells transplantation on standard computed tomography: myeloma spine and bone damage score (MSBDS).

BackgroundIn clinical practice, there is the need to optimize imaging usage in MM patients. Accordingly, the aim of this paper was to develop a simple computed tomography (CT) scoring method for MM, able to shorten and simplify the interpretation time with good intra- and inter-reader reliability. This method, named MSBDS (Myeloma Spine and Bone Damage Score) was developed with the final aim to use standard total-body CT in the routine practice of MM centres as a complement of standard evaluations in patients undergoing stem cells transplantation.MethodsWe used a widely accepted consensus form

Skeletal-related events and overall survival of patients with bone metastasis from nonsmall cell lung cancer - A retrospective analysis.

Because of improving treatments and survival, 40% to 58% of patients with bone metastases from nonsmall cell lung cancer (NSCLC) will suffer from at least one skeletal-related event (SRE), affecting their quality of life, but the natural history of SRE is poorly understood. The study aimed to examine the factors involved in SRE-free survival (SRS) and overall survival (OS) of patients with NSCLC and bone metastases.This was a retrospective study of 211 patients with bone metastasis from NSCLC and treated at the Tumor Hospital Affiliated to Harbin Medical University between January 2007 and Jan

Solitary osseous plasmacytomas in dogs: 13 cases (2004-2019).

ObjectivesTo further characterise solitary osseous plasmacytoma in dogs, an extremely rare disease. To describe diagnosis, disease progression and treatment outcomes in dogs with solitary osseous plasmacytoma.Materials and methodsRetrospective review of dogs with solitary osseous plasmacytomas that were diagnosed and treated at a single institution from 2005 to 2019. Kaplan-Meier single group survival analysis was used to estimate median survival time and progression-free interval.ResultsThirteen dogs met the inclusion criteria for the study, and of those, 11 were treated. The median age at di

Бремя костных заболеваний не влияет на общее выживание вновь диагностированных пациентов с множественной миеломой - единый центр, ретроспективный анализ изображений 119 Пациенты.

Множественная миелома (ММ) часто вызывает миеломное заболевание костей (МБД), проявляющееся в остеолитических повреждениях и событиях, связанных с скелетами (СР), что существенно снижает качество жизни и повышает заболеваемость. Низкая доза для всего тела (WBLDT) стала стандартом для оценки участия костей в диагностике, однако ее прогнозируемое значение остается неясным. Цель этого исследования состояла в том, чтобы оценить нагрузку МБМР на вновь диагностированных пациентов ММ с использованием WBLDT и изучить связи между характеристиками изображений и результатами выживаемости.МЕТОДЫ: В этом р

Osteoporosis case ascertainment strategies in European and Asian countries: a comparative review.

While many clinical guidelines recommend screening for osteoporosis for early detection and treatment, there is great diversity in the case-finding strategies globally. We sought to compare case-finding strategies, focusing on the approaches used in European and Asian countries. This article provides an overview of the current case-finding strategies in the UK, Germany (including Austria and German-speaking regions of Switzerland), China, Japan, and Korea. We conducted a review of current treatment guidelines in each country and included expert opinions from key opinion leaders. Most countries

PB2108: SPINAL INVOLVEMENT IS ASSOCIATED WITH HIGH INCIDENCE OF SKELETAL RELATED EVENTS AND INFERIOR OVERALL SURVIVAL IN PATIENTS WITH MULTIPLE MYELOMA. A SINGLE CENTRE EXPERIENCE IN 653 PATIENTS.

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