Multiple Acrometastases in a Patient with Renal Pelvic Urothelial Cancer
Metastasis may occur in any bone but more commonly occurs in the spine, pelvis, or other axial bones. Metastasis in peripheral bones located distal to the elbow or knee, so-called acrometastasis, is rare. Although the mechanism of acrometastasis development is not completely understood, it is though...
Saved in:
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2017-01-01
|
| Series: | Case Reports in Urology |
| Online Access: | http://dx.doi.org/10.1155/2017/7830207 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832556643671343104 |
|---|---|
| author | Ryoko Sawada Yusuke Shinoda Aya Niimi Tohru Nakagawa Masachika Ikegami Hiroshi Kobayashi Sakae Tanaka Yukio Homma Nobuhiko Haga |
| author_facet | Ryoko Sawada Yusuke Shinoda Aya Niimi Tohru Nakagawa Masachika Ikegami Hiroshi Kobayashi Sakae Tanaka Yukio Homma Nobuhiko Haga |
| author_sort | Ryoko Sawada |
| collection | DOAJ |
| description | Metastasis may occur in any bone but more commonly occurs in the spine, pelvis, or other axial bones. Metastasis in peripheral bones located distal to the elbow or knee, so-called acrometastasis, is rare. Although the mechanism of acrometastasis development is not completely understood, it is thought to be the result of a massive dissemination of cancer cells; thus the prognosis of patients with acrometastasis is relatively poor. Here, we report the case of renal pelvic cancer with multiple acrometastases in both the upper and lower extremities without axial bone metastasis in a 68-year-old man. After two regimens of chemotherapy, he suffered from pain on his wrist and ankle and swelling and hemorrhage of his toe. He had no axial bone metastasis by CT but was diagnosed with multiple acrometastases by plain radiographs. Radiation therapy and disarticulation of the left big toe at the metacarpal-phalangeal joint were performed and his pain and hemorrhage were successfully controlled. Although acrometastasis from renal pelvic cancer is very rare, we should recognize that acrometastasis might occur which exists outside of the CT scanning field. |
| format | Article |
| id | doaj-art-e4049887b17a4ca09f94683708e310d2 |
| institution | Kabale University |
| issn | 2090-696X 2090-6978 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Urology |
| spelling | doaj-art-e4049887b17a4ca09f94683708e310d22025-02-03T05:44:48ZengWileyCase Reports in Urology2090-696X2090-69782017-01-01201710.1155/2017/78302077830207Multiple Acrometastases in a Patient with Renal Pelvic Urothelial CancerRyoko Sawada0Yusuke Shinoda1Aya Niimi2Tohru Nakagawa3Masachika Ikegami4Hiroshi Kobayashi5Sakae Tanaka6Yukio Homma7Nobuhiko Haga8Department of Orthopedic Surgery, The University of Tokyo Hospital, Tokyo, JapanDepartment of Orthopedic Surgery, The University of Tokyo Hospital, Tokyo, JapanDepartment of Urology, Graduate School of Medicine, The University of Tokyo, Tokyo, JapanDepartment of Urology, Graduate School of Medicine, The University of Tokyo, Tokyo, JapanDepartment of Orthopedic Surgery, The University of Tokyo Hospital, Tokyo, JapanDepartment of Orthopedic Surgery, The University of Tokyo Hospital, Tokyo, JapanDepartment of Orthopedic Surgery, The University of Tokyo Hospital, Tokyo, JapanDepartment of Urology, Graduate School of Medicine, The University of Tokyo, Tokyo, JapanDepartment of Rehabilitation Medicine, The University of Tokyo Hospital, Tokyo, JapanMetastasis may occur in any bone but more commonly occurs in the spine, pelvis, or other axial bones. Metastasis in peripheral bones located distal to the elbow or knee, so-called acrometastasis, is rare. Although the mechanism of acrometastasis development is not completely understood, it is thought to be the result of a massive dissemination of cancer cells; thus the prognosis of patients with acrometastasis is relatively poor. Here, we report the case of renal pelvic cancer with multiple acrometastases in both the upper and lower extremities without axial bone metastasis in a 68-year-old man. After two regimens of chemotherapy, he suffered from pain on his wrist and ankle and swelling and hemorrhage of his toe. He had no axial bone metastasis by CT but was diagnosed with multiple acrometastases by plain radiographs. Radiation therapy and disarticulation of the left big toe at the metacarpal-phalangeal joint were performed and his pain and hemorrhage were successfully controlled. Although acrometastasis from renal pelvic cancer is very rare, we should recognize that acrometastasis might occur which exists outside of the CT scanning field.http://dx.doi.org/10.1155/2017/7830207 |
| spellingShingle | Ryoko Sawada Yusuke Shinoda Aya Niimi Tohru Nakagawa Masachika Ikegami Hiroshi Kobayashi Sakae Tanaka Yukio Homma Nobuhiko Haga Multiple Acrometastases in a Patient with Renal Pelvic Urothelial Cancer Case Reports in Urology |
| title | Multiple Acrometastases in a Patient with Renal Pelvic Urothelial Cancer |
| title_full | Multiple Acrometastases in a Patient with Renal Pelvic Urothelial Cancer |
| title_fullStr | Multiple Acrometastases in a Patient with Renal Pelvic Urothelial Cancer |
| title_full_unstemmed | Multiple Acrometastases in a Patient with Renal Pelvic Urothelial Cancer |
| title_short | Multiple Acrometastases in a Patient with Renal Pelvic Urothelial Cancer |
| title_sort | multiple acrometastases in a patient with renal pelvic urothelial cancer |
| url | http://dx.doi.org/10.1155/2017/7830207 |
| work_keys_str_mv | AT ryokosawada multipleacrometastasesinapatientwithrenalpelvicurothelialcancer AT yusukeshinoda multipleacrometastasesinapatientwithrenalpelvicurothelialcancer AT ayaniimi multipleacrometastasesinapatientwithrenalpelvicurothelialcancer AT tohrunakagawa multipleacrometastasesinapatientwithrenalpelvicurothelialcancer AT masachikaikegami multipleacrometastasesinapatientwithrenalpelvicurothelialcancer AT hiroshikobayashi multipleacrometastasesinapatientwithrenalpelvicurothelialcancer AT sakaetanaka multipleacrometastasesinapatientwithrenalpelvicurothelialcancer AT yukiohomma multipleacrometastasesinapatientwithrenalpelvicurothelialcancer AT nobuhikohaga multipleacrometastasesinapatientwithrenalpelvicurothelialcancer |