Multiple osteolitic leasions in course of the adenocarcinoma of the lung — diagnostics and treatment

Abstract

Multiple osteolytic lesions suggest primary bone disease, chronic inflammatory condition or may rise the suspicion of metastatic malignancy. In this paper, we describe the diagnostic process in a 32-year old female with multiple osteolytic lesion in the skeletal system. As a result, we diagnosed advanced pulmonary adenocarcinoma with EGFR mutation. Treatment with the EGFR tyrosine kinase inhibitor resulted in objective response, performance status improvement and ameliorated metastasis-associated pain.