CASE 15: Lung Cancer Pelvic (Iliac Wing) Metastasis

• 60-year-old male patient
• There is a history of treatment due to a diagnosis of lung cancer.
• The patient underwent radiotherapy for metastasis in the posterior part of the right pelvis, but due to recurrence of pain and swelling and inability to walk, surgical treatment was planned.
• After completing preoperative preparations, the patient successfully underwent a procedure that included removing the tumor, filling the resulting cavity with bone cement, and reinforcing it with screws.
• The patient, who did not develop any additional problems after the surgery, was able to walk and was discharged.

Before the surgery: Clinically, swelling is observed, X-rays show lysis, and MRI and CT scans reveal the presence of metastases, predominantly in the posterior pelvis, causing significant destruction, affecting the sacrum, and accompanied by a large tumor tissue.

Post-Surgery: Bone cement secured with screws in the right sacroiliac joint.