Peripheral bone metastasis from genitourinary tumors

Bunkis, Juris; Carter, Rodman D.

doi:10.1016/0090-4295(82)90506-4

Cited by 17 publications

(5 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…[12] But skeletal peripheral metastases below the elbow and the knee especially to the hands or feet are very rare. [3] Metastases from lung, renal, and thyroid tumors tend to be entirely lytic. Purely lytic lesions are also known to occur in myeloma, brown tumor and in lymphomas.…”

Section: Introductionmentioning

confidence: 99%

Occult renal cell carcinoma with acrometastasis and ipsilateral juxta-articular knee lesions mimicking acute inflammation

Borgohain

Khonglah

et al. 2012

Adv Biomed Res

View full text Add to dashboard Cite

Generally, skeletal peripheral metastases below the elbow and the knee are rare. Skeletal metastases to the hand or foot are very rare; but when they do it may be a revealing clinical finding. Purely lytic lesions are commonly seen in metastases from lung, renal, and thyroid tumors, but they are also known to occur in primary myeloma, brown tumor and lymphomas. A 70-year-old man was brought to the emergency department with acute painful swelling involving his right hand and the right knee. Due to significant accompanying soft tissue swellings cellulitis, acute osteomyelitis and gouty arthropathy were included in the initial differential diagnosis. Radiographs showed pure lytic bony lesion with complete disappearance of lower two third of the second metacarpal, trapezium and trapezoid bones of the right hand along with a lytic subarticular lesion of medial condyle of ipsilateral femur. Chest X-ray (CXR) was normal but sonography of the abdomen readily demonstrated a large renal mass, later confirmed at biopsy as renal cell carcinoma (RCC). Clinicians should be cognizant of the strong association between digital acrometastases and renal cell carcinoma in male patients with normal CXR findings. In suspected hand acrometastasis associated with a soft tissue component outside the contours of normal bone, screening the abdomen by sonography should be done prior to bone biopsy and before costly or time-consuming investigations are offered. Metastatic RCC should be included in the differential diagnosis of all unilateral expansile bony lesions of the digit. It is particularly important if such lesion/lesions are accompanied by local inflammation. Screening the abdomen by sonography may be of particular value in such elderly male patient when Chest X-ray shows no abnormality.

show abstract

Section: Introductionmentioning

confidence: 99%

Occult renal cell carcinoma with acrometastasis and ipsilateral juxta-articular knee lesions mimicking acute inflammation

Borgohain

Khonglah

et al. 2012

Adv Biomed Res

View full text Add to dashboard Cite

show abstract

“…The presence of metastatic lesions on the hands and feet is usually associated with tumor spread and a grave prognosis. The average length of survival following diagnosis has been reported to be 5.3 and 9.9 months for hands and feet, respectively [10]. …”

Section: Introductionmentioning

confidence: 99%

Isolated Talus Metastasis from Breast Carcinoma: A Case Report and Review of the Literature

Kouvaris¹,

Kouloulias²,

Papacharalampous³

et al. 2005

Oncol Res Treat

View full text Add to dashboard Cite

Background: Acrometastases are very rare and have been identified in only a few cases on the foot. At the onset, they might be misdiagnosed as arthritis. Case Report: A 59-year-old woman with isolated metastasis to the talus, originating from breast carcinoma was treated by radiotherapy, letrazole, and intravenous bisphosphonates. Results: The review of the literature revealed that this is the first case of an isolated metastasis to the bone of talus from a breast carcinoma, while there are a few cases originating from other organs. The differential diagnosis of acrometastases may be difficult. Conclusion: Pain in the foot or hand of a patient with a known history of malignancy should be considered as potential metastasis.

show abstract

“… 8 Generally, acrometastases are associated with an inferior prognosis. 9 , 10 Barbara Pichi reported that a patient with talar metastasis from buccal mucosa carcinoma received a foot amputation in the advanced period and died after one month. 11 Johnson published a case of talar metastasis from end-stage rectosigmoid adenocarcinoma who accepted radiotherapy and died ten months after the diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Osteoplasty for the Management of a Talar Metastasis: A Case Report

Chen

Tang

Fěng

2021

JPR

View full text Add to dashboard Cite

Background Talar metastasis is very rare among all bone metastases. Routine radiotherapy and chemotherapy are the main treatment measures at present. Nevertheless, some patients still experience unbearable cancer pain that cannot be effectively relieved with powerful painkillers. Case Report We report a patient with advanced renal carcinoma suffering from unbearable pain due to multiple bone metastases that involved several vertebrae (T11, L1, and L2) and the left talus. After percutaneous vertebroplasty in the vertebrae, the pain in the left talus became more prominent. We performed a percutaneous osteoplasty to manage the talar metastasis. Postoperatively, the pain level remarkably decreased, and the patient’s activity capacity significantly improved. Conclusion Percutaneous osteoplasty is an alternative method for talar metastasis that can alleviate pain immediately and improve the quality of life in patients with advanced malignant tumors.

show abstract

Peripheral bone metastasis from genitourinary tumors

Cited by 17 publications

References 7 publications

Occult renal cell carcinoma with acrometastasis and ipsilateral juxta-articular knee lesions mimicking acute inflammation

Occult renal cell carcinoma with acrometastasis and ipsilateral juxta-articular knee lesions mimicking acute inflammation

Isolated Talus Metastasis from Breast Carcinoma: A Case Report and Review of the Literature

Percutaneous Osteoplasty for the Management of a Talar Metastasis: A Case Report

Contact Info

Product

Resources

About