Luther Lauren, McGlone Patrick J, Hardacker Kyle D, Alsoof Daniel, Hayda Roman A, Terek Richard M
Orthop Rev (Pavia). 2024 Mar 9;16:91505. doi: 10.52965/001c.91505. eCollection 2024.
A 62-year-old woman presenting with ankle pain was initially treated for a non-displaced fracture. Persistent pain despite months of conservative management for her presumed injury prompted repeat radiographs which demonstrated the progression of a lytic lesion and led to an orthopedic oncology referral. Following a complete work-up, including biopsy and staging, she was diagnosed with colorectal carcinoma metastatic to the distal fibula.
Secondary tumors of the fibula are uncommon but an important diagnosis to consider for intractable lower extremity pain especially in patients with history of malignancy or lack of age-appropriate cancer screening.
一名62岁女性因踝关节疼痛就诊，最初被诊断为无移位骨折。尽管对其假定损伤进行了数月的保守治疗，但疼痛持续存在，促使再次进行X线检查，结果显示溶骨性病变进展，随后转诊至骨肿瘤科。经过全面检查，包括活检和分期，她被诊断为结直肠癌转移至腓骨远端。
腓骨继发性肿瘤并不常见，但对于下肢顽固性疼痛是一个重要的诊断考虑因素，尤其是有恶性肿瘤病史或未进行适龄癌症筛查的患者。
