Femoral neck metastases from malignant melanoma

BMJ 2015; 351 doi: https://doi.org/10.1136/bmj.h3781 (Published 30 July 2015) Cite this as: BMJ 2015;351:h3781
  1. Faye Alexandra Barnett, clinical research fellow1,
  2. Juliet H Stone, fifth year medical student2,
  3. Martin H Stone, consultant orthopaedic surgeon1
  1. 1Leeds Musculoskeletal Biomedical Research Unit, Chapel Allerton Orthopaedic Centre, Leeds LS7 4SA, UK
  2. 2University of Birmingham Medical School, Birmingham, UK
  1. Correspondence to F A Barnett fayebarnett{at}doctors.org.uk

A 72 year old woman presented with left hip pain. Computed tomography showed bony metastasis of the femoral neck. There was no obvious primary source. A total hip replacement was carried out and histology from the femoral neck showed highly pleomorphic tumour cells consistent with metastatic malignant melanoma. A malignant melanoma (Clark’s level 3, Breslow thickness 1.9 mm) had been excised from her posterior right thigh two years earlier. Lung, prostate, thyroid, kidney, and breast cancer are the most common sources of bony metastases, with rarer causes including bowel and bladder cancer and malignant melanoma.


Cite this as: BMJ 2015;351:h3781


  • Patient consent not required (patient anonymised, dead, or hypothetical).

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