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肾细胞癌在缝线锚钉植入物周围的转移。

Metastasis of renal cell carcinoma around suture anchor implants.

作者信息

Baek Samuel, Shin Myung Ho, Kim Tae Min, Oh Kyung-Soo, Lee Dong Ryun, Chung Seok Won

机构信息

Department of Orthopedic Surgery, Seoul Red Cross Hospital, Seoul, Korea.

Department of Orthopedic Surgery, CM Hospital, Seoul, Korea.

出版信息

Clin Shoulder Elb. 2021 Jun;24(2):110-113. doi: 10.5397/cise.2021.00199. Epub 2021 May 27.

Abstract

We present an unusual case of bone metastases from renal cell carcinoma around orthopedic implants in a 78-year-old female with osteolytic, expansile, highly vascularized, malignant infiltration around suture anchors in the proximal humerus. The patient had undergone arthroscopic rotator cuff repair using suture anchor implants 6 years previously. After diagnosis of bone metastasis, she was successfully treated with metastasectomy and internal fixation using a plate and screws, with cement augmentation. This report is the first to document metastases around a suture anchor in a bone and suggests the vulnerability of suture anchor implants to tumor metastasis.

摘要

我们报告了一例罕见的病例,一名78岁女性,肾细胞癌发生骨转移至骨科植入物周围,肱骨近端缝线锚钉周围出现溶骨性、膨胀性、高度血管化的恶性浸润。该患者6年前接受了使用缝线锚钉植入物的关节镜下肩袖修复术。在诊断为骨转移后,她成功接受了转移灶切除术,并使用钢板和螺钉进行内固定,同时进行骨水泥强化。本报告首次记录了骨内缝线锚钉周围的转移情况,并提示缝线锚钉植入物易发生肿瘤转移。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1678/8181848/a19196726dea/cise-2021-00199f1.jpg

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