Baek Samuel, Shin Myung Ho, Kim Tae Min, Oh Kyung-Soo, Lee Dong Ryun, Chung Seok Won
Department of Orthopedic Surgery, Seoul Red Cross Hospital, Seoul, Korea.
Department of Orthopedic Surgery, CM Hospital, Seoul, Korea.
Clin Shoulder Elb. 2021 Jun;24(2):110-113. doi: 10.5397/cise.2021.00199. Epub 2021 May 27.
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.
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。