a 35 yrs old femalept camewith c/O. pain associatedwith swelling at Lt hand . in past she took tretmeant for oral cancer including hemimadibulectomy and chemotherapy. no othere c/o . no htn dm asthama tb epilepsy cva cad

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Metastatic lesion. TC99 three phase whole body scan. CT guided FNAC ,then oncologist advices.
thanku sir
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Secondaries Humerus? Do Serum Alkaline Phosphatase. Give Radiotherapy and Prophylactic Humerus Interlocking nail to prevent pathological fracture
Dr. Baseer Hashmi sir please share your views with us.
sure sir
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osteolytic lesion in shaft likely metastatic .also there osteomalacia
thanku sir
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Metastasis. prophylactic fixation can be done. Mirel's score is 8/9
Mirel's is <7 .. I think...
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Metastasis humerus

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