Tonogai Ichiro, Nishisho Toshihiko, Miyagi Ryo, Sairyo Koichi
Department of Orthopedics, Institute of Biomedical Science, Tokushima University Graduate School, 3-18-15 Kuramoto, Tokushima 770-8503, Japan.
Foot Ankle Surg. 2018 Feb;24(1):e7-e12. doi: 10.1016/j.fas.2017.06.007. Epub 2017 Jul 6.
We present a rare case of metastasis of renal cell carcinoma to the calcaneus in a 59-year-old man who presented with pain and inability to bear weight on the left foot 3 years after right nephrectomy for renal cell carcinoma. He successfully underwent en bloc resection of his right calcaneus with a limb salvage procedure, total calcanectomy without bony reconstruction. Histological findings identified the lesion as a metastasis originating from a renal cell carcinoma. Recent follow-up examination showed no recurrence. To the best of our knowledge, this is the first reported case to be treated with total calcanectomy for renal cell carcinoma metastasis.
我们报告了一例罕见的肾细胞癌转移至跟骨的病例，患者为一名59岁男性，在因肾细胞癌行右肾切除术后3年，出现左足疼痛且无法负重。他成功接受了右跟骨整块切除及保肢手术，即全跟骨切除术且未进行骨重建。组织学检查结果表明该病变为源自肾细胞癌的转移瘤。近期随访检查未发现复发。据我们所知，这是首例报道的采用全跟骨切除术治疗肾细胞癌转移的病例。
