Abstract

Bearing bone involvement is a possible sign of generalization variety of cancers. In many cases the process of bearing skeletal diagnosed at the time when the primary tumor is not obvious. The task of the physician is quickly to determine whether it is a benign process or not, and diagnosis of the primary process by which then determine the further progress of therapy. The search for causative bearing shell process, alternatively the primary tumor, is often common practice in the hands of internist. Departments of Clinical Oncology do not have to have sufficient capacity for complex treatment all of newly discovered deposits skeleton whose nature does not have to be always initially clear. Therefore, in the opinion of the authors in these cases, the role of internist as a significant diagnosis very important In our article, we introduce six case reports of patients who were bearing the ambiguous process of investigation of the skeleton in our department in 2014. In accordance with the literature data were represented kidney tumor, multiple myeloma, chondrosarcoma, and in one case the origo malignant process was not found.

Highlights

  • Bone is a mineralized connective tissue. It forms the internal structure of the organism and serves as a support for the body

  • It is subject to a lifetime rebuilding process, and two basic bone cells maintain its structure

  • We investigated a 68-year-old patient for long-term pain in the lumbar region

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Summary

Introduction

Multiple myeloma (about 70-95%) is the most common malignant disease with skeletal lesions ( it is not a metastasis in the true sense of the word but about localization of the process). This is a 61 - year - old female patient who has had severe left - sided ribs and back pain for several days. Multiple osteolytic foci were on CT (computed tomography) examination of the lumbosacral spine (Figure 1). A pathological finding was on scintigraphic examination of the skeleton.

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