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Case Reports in Medicine
Volume 2009, Article ID 352085, 3 pages
http://dx.doi.org/10.1155/2009/352085
Case Report

Solitary Tibial Osteolytic Lesion

1Department of Orthopaedic Surgery, School of Medicine, University Hospital of Ioannina, University of Ioannina, 45500 Ioannina, Greece
2Department of Radiation Therapy, School of Medicine, University Hospital of Ioannina, University of Ioannina, 45500 Ioannina, Greece

Received 27 January 2009; Accepted 23 May 2009

Academic Editor: Daniel Aebersold

Copyright © 2009 Emilios E. Pakos et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We report an unusual case of solitary osteolytic tibial metastasis from a primary endometrial cancer in a 62-year-old woman. The primary cancer was treated with total abdominal hysterectomy and bilateral salpingo-oophorectomy combined with postoperative external beam radiotherapy, while the tibial metastasis was treated with an above knee amputation. The rarity of the case lies on the fact that metastases distally to the elbow and knee are uncommon and endometrial cancer rarely gives distal bone metastases and particularly solitary to the extremities.