types of pathological fractures
Malignant pathologic fractures may present in the following three ways: 1  Fractures through a primary malignant bone tumor. 2  Fractures through solitary metastatic lesions without a known primary site of disease. 3  Fractures through metastatic disease in patients with a known primary cancer diagnosis.
Pathologic Fractures Tumors primary secondary (metastatic) (most common) Metabolic osteoporosis (most common) Pagetâs disease hyperparathyroidism Pathologic Fractures Benign Tumors Fractures more common in benign tumors (vs malignant tumors) most asymptomatic prior to fracture antecedent nocturnal/rest symptoms rare most common in children humerus ...