A Picture is Worth a Thousand Words
This is an x-ray from a 45-year-old woman with a diagnosis of a localized breast cancer in her right breast. She was treated initially for a period of six months, and later she was under follow-up.
Three years after the diagnosis, she went to the hospital with a major neurological deterioration, with aphasia, she was unable to stand up. Clinical signs of infection or metabolic disorder were not observed. In the physical examination, it was clear that pain was present even after minimal mobilization, suggesting bone metastases. A bone scan detected a “superscan”, a particular name used to describe the presence of a generalized metastatic dissemination. A NMR evidenced several intracranial metastases, some of them in a direct contact with the skull.
Here we show the skull x-ray, with a mix of lytic and blastic metastases. Some of the cranial metastases infiltrate the dura mater and the brain.
