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Contributed By: Melanie Osterhouse,DC,DACBR

Case History:
46 year old patient presents with hip pain


General information
Metastasis is 25:1 more common than primary malignancy of the skeleton. The overall incidence of skeletal metastasis from carcinoma on autopsy is 70%. Metastasis likes the red marrow with its rich sinusoidal system; therefore, metastasis tends to fill the medullary space unlike most primaries. Eighty percent of skeletal metastasis will involve the vertebrae.



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