tisaeatcMt adieses is orem monmoc than iraprmy onbe u.smtor
’Im hangvi leubrto gdnesturiadnn hwy isth is a breett iocche tanh atPge esei,sad clsaelepiy itwh eht naidecesr PLA?
multiple myeloma is the most common PRIMARY malignancy of bone (pathoma), so it's not MM.
it's not paget (lack other Sx, would also have sclerotic lesions)
mostly likely renal or lung cancer metast to the bone
I ruled out Paget's because Paget's is usually localized, per FA, Pathoma, B&B. Although this patient definitely fits the demographic picture, prostate cancer is definitely not the only cancer that can metastasize to the bones. Because these are lytic lesions, it's probably some other cancer that's spread to the bones
I also chose Paget :/ but realized this which I didn't before:
The stages are not uniform across different bones, so you could have some bones that are in the osteoblastic stage, while others are in the lytic stage etc.