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Nawghare SP et al. – An innocuous backache may be a clue to something more serious. The authors present the case of a seventy two year old man with a backache, who was diagnosed as a metastasis of chronic lymphocytic leukaemia (CLL). Metastasis of chronic lymphocytic leukemia to the bone is an extremely rare complication. The authors report the first case of CLL metastasis to the proximal femur. This is perhaps the second case of a metastasis of CLL to the bone. Diagnosis depends on the histology. Its presence should be considered in patients with CLL presenting with low back pain. One should be aware of its existence or it may be missed.


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