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A 58-year-old woman presented with a cavitating left breast lesion and increasing pain in the left arm. For over a year she had noticed an enlarging breast mass but did not seek medical advice. Imaging showed metastatic disease in the chest and brain. Serum calcium and alkaline phosphatase levels were within the normal range. Since she had a marked decrease in function of her left arm, a plain radiograph was obtained. The image disclosed a destructive process involving the proximal humerus, with multiple pathologic fractures, presumably due to bony metastatic disease (Panel A). Palliative left total mastectomy was performed. The . . . [Full Text of this Article] |
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