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Case report reveals thoracic osteolytic lesions and back pain in an older male, indicating the need for differential evaluation of destructive bone lesions.
Presentation of CaseA 67-year-old man was admitted to the hospital because of increasing back pain and osteolytic changes in the 11th and 12th thoracic vertebras.There was a history of coronary artery disease with multiple subendocardial infarcts, which had led to coronary-artery bypass surgery 19 years earlier.During the year before admission the patient experienced mild, intermittent low dorsal pain. Ten months before entry an electronic pacemaker was implanted because of the sick sinus syndrome. The alkaline phosphatase was 224 U per liter.Seven months before admission the patient returned to the hospital because of recurrent anterior chest pain. . . .
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Cabot et al. (1993) studied this question.
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