ArticleFrontiers in oncology2025
Case Report: A case of femoral metastatic cancer misdiagnosed as isolated femoral lesser trochanter avulsion fracture.
Article in Frontiers in oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: To highlight the diagnostic challenges and clinical implications of metastatic disease presenting as an atypical fracture in a patient with a history of lung cancer, emphasizing the importance of maintaining a high index of suspicion for metastatic disease and the need for comprehensive diagnostic approaches. Methods: We present a case of a 79-year-old male with a history of poorly differentiated squamous cell carcinoma of the left lung who presented with left hip pain after minor trauma. Initial X-ray and CT imaging suggested an avulsion fracture of the femoral lesser trochanter(LT).The patient was managed conservatively with bed rest. However, persistent pain led to further evaluation with MRI, revealing an underlying pathological fracture due to metastatic cancer. Results: Initial radiographic and CT findings showed a localized bone defect and surrounding soft tissue swelling, consistent with an avulsion fracture of the LT. However, MRI and contrast-enhanced MRI revealed irregularities in the femoral LT with abnormal bone marrow signals and a prominent soft tissue mass, leading to the diagnosis of a pathological fracture secondary to metastatic cancer. This case underscores the limitations of initial imaging modalities in detecting subtle bone marrow changes and the importance of MRI in identifying metastatic lesions. Conclusion: The misdiagnosis of a pathological fracture as an avulsion fracture can have significant clinical implications, including increased morbidity and delayed treatment of metastatic disease. This case highlights the importance of maintaining a high index of suspicion for metastatic disease, especially in patients with a history of malignancy, and the need for comprehensive diagnostic approaches, including MRI to avoid misdiagnosis. Early recognition and appropriate management of pathological fractures are crucial for improving patient outcomes and quality of life.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.