Synchronous phalangeal metastases in upper and lower limbs from primary breast malignancy: a rare case scenario with a review of the literature

Ravind, Rahul; Prameela, Chelakkot G; Gurram, Bharath Chandra; Dinesh, M

doi:10.1136/bcr-2015-213246

Cited by 3 publications

(3 citation statements)

References 15 publications

(10 reference statements)

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“…Palliative treatment of bone metastases has always been conservative: radiotherapy, chemotherapy, immunotherapy, targeted therapy, bisphosphonates and analgesics [58]. More recently, minimally invasive techniques, including ethanol ablation, laser ablation, microwave ablation, cryoablation and radiofrequency ablation, have been used for painful Lung cancer 11 [2,[7][8][9][10][11][12][13][14][15][16] Cervical carcinoma 2 [16,17] Endometrial cancer 5 [18][19][20] Prostatic cancer 5 [23][24][25] Breast cancer 3 [3,28,29] Intestinal tumor 7 [30,31] Bladder cancer 2 [3,34] Kidney cancer 7 [35][36][37][38][39] Gastric adenocarcinoma 2 [42,43] Table 2 Malignant tumors metastasized to the foot skeleton…”

Section: Discussionmentioning

confidence: 99%

“…Others Urothelial carcinoma of the urete [44], Submandibular gland carcinoma [45], Hypopharyngeal epidermoid carcinoma [9], Melanoma [46], Multiple myeloma [3],Humeral osteogenic sarcoma [30], Non-Hodgkin Lymphoma [47], Nasopharyngeal carcinoma [48], Esophagus carcinoma [49], Hypernephroma [30] [3,8,16,18,22,24,26,27,29,32,38,42] Metatarsals 14 [2, 7, 10-12, 19, 31-35, 39, 46, 49] Phalanges 13 [9,17,20,21,28,36,40,41,43,45,47,48,53] Talus 1 [13] Cuboid 4 [25,32,33,47] Navicular bones 3 [14,23,33] Cuneiform bones 4 [ 2,15,33,37] bone lesions [59]…”

Section: Discussionmentioning

confidence: 99%

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Metatarsal metastasis from clear cell renal cell carcinoma: a case report and literature review

Han

Zhang

et al. 2020

BMC Urol

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Background: Bone metastasis is known to occur in some patients with cancer, usually in the spine, pelvis or ribs, and less than 0.01% of patients have metastases in the foot bone, so metatarsal metastasis is quite rare. The initial symptoms of osseous metastases are swelling, pain, or both. Case presentation: We report a 68-year-old man with solitary metatarsal metastasis 26 months after a diagnosis of renal clear cell carcinoma. The patient suffered intermittent swelling of his right foot and pain for one year due to trauma and was not treated. The doctor attributed the symptoms to trauma, administering massage therapy and a plaster cast to the patient at the local clinic. After reviewing the medical records, we found that this patient had a history of clear cell renal cell carcinoma. The patient underwent radiological examination and open biopsy of the first metatarsal bone of the right foot. These findings confirmed that the patient had a metatarsal metastasis from clear cell renal cell carcinoma. The patient subsequently underwent right foot amputation. No local recurrence or distant metastasis was found after a 6-month follow-up. Conclusion: Clinicians should be aware of a history of renal cell carcinoma (RCC) and fully understand the patient's past medical history. When treating patients with clear cell renal cell carcinoma who have unresolving bony pain or swelling, clinicians should always keep in mind the possibility of bone metastasis of RCC.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Metatarsal metastasis from clear cell renal cell carcinoma: a case report and literature review

Han

Zhang

et al. 2020

BMC Urol

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“…Other primitives, particularly osteosarcoma, were ruled out. Acral cutaneous [1][2][3][4][5] or phalangeal [6][7][8] metastasis has been reported in breast cancer. Acral metastasis is a rare site of bone metastasis.…”

Section: Figurementioning

confidence: 99%

Atypical Unilateral Lower-Limb Relapse of Breast Cancer

Alexandra¹,

Stephanie²,

Véra³

et al. 2021

Clin Nucl Med

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In July 2017, an 84-year-old woman was treated for grade III, RH+, HER2− infiltrative ductal carcinoma breast cancer by right mastectomy, adjuvant radiotherapy, and hormone therapy. In April 2020, moderated elevation of the CA-15.3 tumor marker was observed at 53 UI/mL (normal, <25.5 UI/mL). Clinical examination and CT TAP scan showed no argument for relapse. In August 2020, patient presented pain in her left foot. 99mTc-DPD bone scintigraphy showed multiple uptakes regarding osteolytic lesion of the left lower limb with no other pathological uptake. Echo-guided tibial biopsies confirmed breast origin adenocarcinoma, in favor of relapse of the originally treated cancer.

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Malignant Bone and Soft Tissue Lesions of the Foot

Angelini

Biz

Cerchiaro

et al. 2023

JCM

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Malignant tumors of the foot are rare pathologies that can involve the skin, soft tissue, or bone. Due to their rarity, they are often misdiagnosed, resulting in inadequate excision and poor outcomes. A correct approach with a careful examination and radiological study, followed by a properly performed biopsy, is thus mandatory to avoid these pitfalls. The present article reviews the most common malignant bone and soft tissue lesions of the foot region, discussing their clinicopathological presentation, imaging features, and current concepts in treatment.

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Synchronous phalangeal metastases in upper and lower limbs from primary breast malignancy: a rare case scenario with a review of the literature

Cited by 3 publications

References 15 publications

Metatarsal metastasis from clear cell renal cell carcinoma: a case report and literature review

Metatarsal metastasis from clear cell renal cell carcinoma: a case report and literature review

Atypical Unilateral Lower-Limb Relapse of Breast Cancer

Malignant Bone and Soft Tissue Lesions of the Foot

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