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Images in Clinical Medicine
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Volume 337:1043 October 9, 1997 Number 15
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Pathologic Fracture

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Figure 1. A 65-year-old man had T-cell, large-cell non-Hodgkin's lymphoma of the right temporalis muscle with localized bone destruction. Computed tomography of the chest, abdomen, and pelvis showed no evidence of lymphoma. Bone marrow biopsy and analysis of cerebrospinal fluid were also negative for lymphoma. The serum alkaline phosphatase concentration was normal, and the patient had had no skeletal symptoms. While undergoing evaluation, he experienced severe pain in his left arm when he picked up a small bag of paper towels. A radiograph of the left upper arm showed an osteolytic lesion in the middle of the humeral diaphysis . . . [Full Text of this Article]

 

Related Letters:

Pathologic Fracture
Wilson S. C., Yett H. S., Dores G. M., Miller M. E.
Extract | Full Text  
N Engl J Med 1998; 338:394-395, Feb 5, 1998. Correspondence

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