Aberrant single metastasis to the elbow from primary rectal cancer: a rare presentation
Rectal adenocarcinoma usually metastasizes to the liver and lungs and when it has bone spread, it more frequently involves the vertebrae and pelvis. Thus, aberrant metastasis from a rectal adenocarcinoma to upper extremities with preservation of intraabdominal organs is very uncommon. We present the...
| Autores: | , , , , , , , |
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| Tipo de recurso: | artículo |
| Fecha de publicación: | 2020 |
| País: | España |
| Institución: | Conselleria de Salut i Consum del Govern de les Illes Balears |
| Repositorio: | Docusalut |
| Idioma: | inglés |
| OAI Identifier: | oai:docusalut.com:20.500.13003/11551 |
| Acceso en línea: | https://hdl.handle.net/20.500.13003/11551 |
| Access Level: | acceso abierto |
| Palabra clave: | Neoplasm Staging Aged, 80 and over Diagnosis, Differential Male Fatal Outcome Bone Neoplasms Adenocarcinoma Humans Elbow Rectal Neoplasms Humanos Anciano de 80 o más Años Neoplasias del Recto Estadificación de Neoplasias Resultado Fatal Codo Neoplasias Óseas Diagnóstico Diferencial Masculino Metastasis rectal carcinoma colorectal carcinoma elbow |
| Sumario: | Rectal adenocarcinoma usually metastasizes to the liver and lungs and when it has bone spread, it more frequently involves the vertebrae and pelvis. Thus, aberrant metastasis from a rectal adenocarcinoma to upper extremities with preservation of intraabdominal organs is very uncommon. We present the case of an 80-year-old male patient with a diagnosis of adenocarcinoma of the rectum T4N1M1 with non-axial single bone metastases and with preservation of visceral organs. Anterior resection of rectum after neoadjuvant chemotherapy and radiotherapy were made. The bone metastasis received palliative radiotherapy and was not resected. The patient died 10 months after diagnosis. This clinical situation generally has a poor prognosis. When the patient complains of unusual bone pain it is necessary to suspect a malignant disease and even if extraordinarily rare, rectal cancer must be considered as a possible cause. |
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