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Metastatic osseous disease of unknown primary origin: A case report and review of literature
Dougherty, Alleyna Moore, Lauren Atkins, Lori
Dougherty, Alleyna
Moore, Lauren
Atkins, Lori
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2023-08-17
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Abstract
Cancer of unknown primary (CUP) is a heterogeneous group of metastatic tumors in the absence of a clinically identifiable site. We describe the case of a 66-year-old female with an extensive history of non-specific imaging concerning for malignancy who did not undergo further workup and in whom a diagnosis of CUP was made. The patient initially presented to her specialist with concern of right leg pain. Imaging at that time was concerning for a progressive malignant process. Given this, the patient was referred urgently for surgery. Final surgical pathology and breast prognostic panel were consistent with metastatic breast carcinoma at that time. Follow-up imaging performed 1-week postoperatively did not show suspicious findings in either breast, further supporting a diagnosis of CUP. To this end, we highlight the importance of follow-up imaging but recognize the challenges facing healthcare professionals in navigating the ethical principles of nonmalificience and beneficence in diagnostic workup.
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Cancer of unknown primary
metastatic breast carcinoma
breast carcinoma
breast cancer
female cancer
metastatic breast carcinoma
breast carcinoma
breast cancer
female cancer
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Burnett School of Medicine