Beyond the break: Breast carcinoma unveiled – An unusual case report

Abstract Unusual initial presentations of common malignancies can lead to delayed diagnosis and treatment. We report the case of a 49-year-old woman who presented with fractures of the left femur and right humerus following a minor fall. Unexpectedly, pathological examination of the bone tissue revealed metastatic carcinoma. Imaging studies subsequently identified a primary lesion in the right breast with widespread skeletal involvement . Only 0.4%–1% of breast cancer patients initially present with symptoms of bone metastasis . This case emphasises the crucial role of vigilance and pathological assessment in uncovering hidden primary malignancies. It also highlights the need to consider underlying carcinoma as a differential diagnosis even in routine orthopaedic cases of low-impact fractures.