RESUMEN
A woman who had formerly had adequately treated breast cancer presented with symptoms of pain in the right shin. An X-ray of the punctum maximum for the pain showed a bone lesion. Biopsy revealed that it came from an adenocarcinoma of the lung, contrary to the first diagnosis of breast cancer meta-stasis. The lung lesion had been seen on a subsequent computed tomography. There were no presenting symptoms relating to lung cancer. This case is interesting as adenocarcinoma metastasis to bone rarely occurs in the tibia and below the knee.
Asunto(s)
Adenocarcinoma/patología , Neoplasias Óseas/secundario , Neoplasias Pulmonares/patología , Adenocarcinoma/diagnóstico , Anciano , Neoplasias Óseas/complicaciones , Neoplasias Óseas/diagnóstico , Femenino , Humanos , Neoplasias Pulmonares/diagnóstico , Dolor Musculoesquelético/etiología , Tibia/patologíaAsunto(s)
Embolia Pulmonar/patología , Trombosis de la Vena/patología , Adenoma/inducido químicamente , Adenoma/patología , Adulto , Anticonceptivos Hormonales Orales/efectos adversos , Resultado Fatal , Femenino , Humanos , Neoplasias Hepáticas/inducido químicamente , Neoplasias Hepáticas/patología , Embolia Pulmonar/inducido químicamente , Fumar/efectos adversos , Trombosis de la Vena/inducido químicamenteRESUMEN
We describe two cases of shaken baby syndrome. Both children were about three months of age. It is important to recognise the characteristic features of this form of child abuse in order to prevent further damage and to ensure removal of the children from the abusive environment.