Ag. St.D.O.B. 1927

Breast cancerMastectomies 1972

George SapkasProfessor of Orthopaedics

Spinal UnitMetropolitan Hospital

Athens Greece

Jan. 2005 Neck pain N(±) F: 79

Dec. 2005 Neck pain N(+) F: 80

2/12/2005 Neck pain N(+)

a. Posterior decompression and Occipitocervical stabilization

b. Post-operative adjuvant chemotherapy - radiotherapy

N(-)N(-)

Cervical metastastisHistology - Original site : breast

Ag. St.F: 90

Acute Hip (L) painwithout obvious reason

CT scan

Coronal

Saggital

Axial

Oncologic Hemi – arthroplasty

Histologic examination:Metastatic invasion of the epiphysis - metaphysis at the hip level of the femoral bone.Ductal cell carcinoma of the breastSimilar histological findings to the one found at the cervical metastasis Hematoxylin - Eosin

Ki - 67Estrogen receptor Progesterone receptor

Adjuvant :•Chemotherapy•Radiotherapy ?