Esophageal Carcinoma Metastatic to the Patella

Ashby, Milton E.

doi:10.1001/jama.1976.03260490037018

Cited by 13 publications

(3 citation statements)

References 4 publications

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“…[18][19][20][21]25 Normally, patients with patellar metastasis of oesophageal cases initially have a history of progressive dysphagia, and immobilising pain and swelling in the affected knee gradually develop. 7,8 Notably, the current patient had isolated patellar metastasis 2 months after being diagnosed with OC, without lymph node metastasis or other types of metastasis. Because the OC was too large for complete resection, the patient underwent neoadjuvant chemotherapy before surgery.…”

Section: Discussionmentioning

confidence: 80%

“…A MEDLINE database search of studies published between 1952 and 2019 yielded only approximately 48 reported cases of patellar metastases. 6–9,16–25 There were more than 10 cases in which patellar symptoms were the first manifestation of the metastases. 18–21,25 Normally, patients with patellar metastasis of oesophageal cases initially have a history of progressive dysphagia, and immobilising pain and swelling in the affected knee gradually develop.…”

Section: Discussionmentioning

confidence: 99%

“…5 In the past few decades, to the best of our knowledge, few cases of patellar tumours have been reported and patellar metastases of oesophageal cancer are even rarer, 6 Only two cases of metastases of OC have been reported. 7,8 For the first time, we present an extremely rare case of a 50-yearold man who was diagnosed with OC and solitary patellar metastasis with no other bone metastases. The patient's condition rapidly deteriorated because he did not undergo additional treatment and he died of acute pulmonary embolism.…”

Section: Introductionmentioning

confidence: 99%

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Oesophageal carcinoma with solitary patellar metastasis: a rare case report

et al. 2021

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The incidence of tumours found in the patella, including primary and metastatic tumours, is low. Solitary metastasis of oesophageal carcinoma (OC) in the patella is even rarer. A 50-year-old man presented to our clinic because of pain and limited range of motion in the right knee for 4 hours and after a fall. On the basis of the patient’s medical history, he was diagnosed with OC 2 months previously and underwent two cycles of paclitaxel liposome combined with tiggio chemotherapy (oral tiggio, 40 mg, two times/day, with a treatment cycle of 3 weeks). A 99mTc-methylene diphosphonate bone scintigraphy scan showed increased radioactivity in the right patella. A right knee biopsy showed the presence of patellar metastasis from OC. Unfortunately, the patient denied additional treatment and was discharged for personal reasons. At the 1-month follow-up, which was conducted by a telephone survey, we learned that the patient had died of acute pulmonary embolism. X-rays and computed tomography are useful for diagnosing patellar metastases, but 99mTc-methylene diphosphonate bone scintigraphy can help physicians diagnose patellar metastasis of OC more rapidly. Biopsy with pathology is the gold standard for diagnosing patellar metastases. Additionally, timely surgical treatment prolongs the survival time of these patients.

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Section: Discussionmentioning

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Oesophageal carcinoma with solitary patellar metastasis: a rare case report

et al. 2021

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Primary tumors of the patella

et al. 1989

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This study reports 42 cases of histologically proven and radiographically correlated primary patellar tumors. Despite diverse histologic diagnoses, the radiographic appearances of benign as opposed to malignant patellar neoplasms are essentially indistinguishable. Although the literature suggests that giant cell tumor is the most frequent benign tumor of the patella, the most common benign neoplasm in this series is chondroblastoma (16 cases). Only four primary malignant lesions were encountered, three cases of lymphoma and one case of hemangioendothelioma. Since 38 (90%) of the 42 cases were benign, a benign etiology should be strongly favored, notwithstanding the radiographic appearance, whenever a primary patellar tumor is encountered.

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Chondroblastoma of the patella

et al. 1988

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This study reviews 16 cases of chondroblastoma of the patella which constitute nearly 6% of a large group of chondroblastomas scattered throughout the skeleton. Both radiologic and histologic appearances of chondroblastomas of the patella are indistinguishable from those of chondroblastomas arising in other sites. A reasonable differential diagnosis, including chondromalacia patella, is discussed together with important therapeutic considerations.

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Esophageal Carcinoma Metastatic to the Patella

Cited by 13 publications

References 4 publications

Oesophageal carcinoma with solitary patellar metastasis: a rare case report

Oesophageal carcinoma with solitary patellar metastasis: a rare case report

Primary tumors of the patella

Chondroblastoma of the patella

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