PMC4355604_01
(a) Red arrow: brain CT axial view showing brain metastasis at the right temporal lobe in 2003. (b) Thorax, abdomen, and pelvis CT coronal view showing no evidence of metastasis after multiple metastasectomies. The scan was performed in 2008. (c) Recent (2014) chest CT coronal view showing a metastatic focus on the left lower lung lobe (yellow arrow) as well as an osteoclastic lesion involving the upper two ribs (green arrow).
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fig1
The patient survived the incident and received palliative radiotherapy on this lesion in 2003, 2004, and 2005 (see Figure 1).
(a) Abdomen CT coronal view showing no evidence of metastasis after multiple metastasectomies. The scan was performed in 2008. (b) A recent (2014) picture of the same view showing multiple liver metastases (red arrows) before starting the 8th systemic targeted therapy.
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fig2
However, the patient is suffering from multiple metastatic symptoms in liver, ribs, and lung as previously described (see Figure 2).