Pathological clavicular fracture as first presentation of renal cell carcinoma: a case report and literature review

Renal cell carcinoma(RCC) accounts for approximately 3% of all cancer cases. RCCs usually metastasize to the lungs, bones, liver, or brain. Only 〈1% of patients with bone metastases manifested clavicular RCC metastases. Thus, clavicular metastasis as the initial presentation of RCC is extremely rare...

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Published inCancer biology & medicine Vol. 12; no. 4; pp. 409 - 412
Main Authors Kong, Yan, Wang, Jin, Li, Huan, Guo, Peng, Xu, Jian-Fa, Feng, He-Lin
Format Journal Article
LanguageEnglish
Published China Chinese Anti-Cancer Association (CACA), Cancer Biology & Medicine 01.12.2015
Chinese Anti-Cancer Association
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Abstract Renal cell carcinoma(RCC) accounts for approximately 3% of all cancer cases. RCCs usually metastasize to the lungs, bones, liver, or brain. Only 〈1% of patients with bone metastases manifested clavicular RCC metastases. Thus, clavicular metastasis as the initial presentation of RCC is extremely rare. We report a patient with RCC metastasis to the left clavicle, which was first presented with pain caused by a pathological fracture. Magnetic resonance image revealed a renal tumor, and technetium-99m-methylene diphosphonate bone scintigraphy showed multiple osseous metastases. The patient eventually underwent surgery to remove the lateral end of the left clavicle and right kidney. Histopathology revealed renal tumor and clear cell carcinoma in the clavicle. Finally, we review 17 cases of clavicular metastases originating from different malignancies.
AbstractList Renal cell carcinoma (RCC) accounts for approximately 3% of all cancer cases. RCCs usually metastasize to the lungs,bones, liver, or brain. Only <1% of patients with bone metastases manifested clavicular RCC metastases. Thus, clavicularmetastasis as the initial presentation of RCC is extremely rare. We report a patient with RCC metastasis to the left clavicle,which was first presented with pain caused by a pathological fracture. Magnetic resonance image revealed a renal tumor,and technetium-99m–methylene diphosphonate bone scintigraphy showed multiple osseous metastases. The patienteventually underwent surgery to remove the lateral end of the left clavicle and right kidney. Histopathology revealed renaltumor and clear cell carcinoma in the clavicle. Finally, we review 17 cases of clavicular metastases originating from different malignancies.
Renal cell carcinoma (RCC) accounts for approximately 3% of all cancer cases. RCCs usually metastasize to the lungs, bones, liver, or brain. Only <1% of patients with bone metastases manifested clavicular RCC metastases. Thus, clavicular metastasis as the initial presentation of RCC is extremely rare. We report a patient with RCC metastasis to the left clavicle, which was first presented with pain caused by a pathological fracture. Magnetic resonance image revealed a renal tumor, and technetium-99m-methylene diphosphonate bone scintigraphy showed multiple osseous metastases. The patient eventually underwent surgery to remove the lateral end of the left clavicle and right kidney. Histopathology revealed renal tumor and clear cell carcinoma in the clavicle. Finally, we review 17 cases of clavicular metastases originating from different malignancies.
Renal cell carcinoma(RCC) accounts for approximately 3% of all cancer cases. RCCs usually metastasize to the lungs, bones, liver, or brain. Only 〈1% of patients with bone metastases manifested clavicular RCC metastases. Thus, clavicular metastasis as the initial presentation of RCC is extremely rare. We report a patient with RCC metastasis to the left clavicle, which was first presented with pain caused by a pathological fracture. Magnetic resonance image revealed a renal tumor, and technetium-99m-methylene diphosphonate bone scintigraphy showed multiple osseous metastases. The patient eventually underwent surgery to remove the lateral end of the left clavicle and right kidney. Histopathology revealed renal tumor and clear cell carcinoma in the clavicle. Finally, we review 17 cases of clavicular metastases originating from different malignancies.
Author Yan Kong Jin Wang Huan Li Peng Guo Jian-Fa Xu He-Lin Feng
AuthorAffiliation Department of Medical Oncology, the Fourth Hospital of Hebei Medical University, Shijiazhuang 050011, China Department of Orthopedics, the Fourth Hospital of Hebei Medical University, Shijiazhuang 050011, China Postgraduate School, Tianjin Medical University, Tianjin 300070, China
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Issue 4
Keywords Clavicle
metastasis
pathological fracture
renal cell carcinoma (RCC)
Language English
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Notes Clavicle metastasis renal cell carcinoma(RCC) pathological fracture
Renal cell carcinoma(RCC) accounts for approximately 3% of all cancer cases. RCCs usually metastasize to the lungs, bones, liver, or brain. Only 〈1% of patients with bone metastases manifested clavicular RCC metastases. Thus, clavicular metastasis as the initial presentation of RCC is extremely rare. We report a patient with RCC metastasis to the left clavicle, which was first presented with pain caused by a pathological fracture. Magnetic resonance image revealed a renal tumor, and technetium-99m-methylene diphosphonate bone scintigraphy showed multiple osseous metastases. The patient eventually underwent surgery to remove the lateral end of the left clavicle and right kidney. Histopathology revealed renal tumor and clear cell carcinoma in the clavicle. Finally, we review 17 cases of clavicular metastases originating from different malignancies.
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E-mail: fenghelin0311@126.com
Correspondence to: He-Lin Feng
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Snippet Renal cell carcinoma(RCC) accounts for approximately 3% of all cancer cases. RCCs usually metastasize to the lungs, bones, liver, or brain. Only 〈1% of...
Renal cell carcinoma (RCC) accounts for approximately 3% of all cancer cases. RCCs usually metastasize to the lungs, bones, liver, or brain. Only <1% of...
Renal cell carcinoma (RCC) accounts for approximately 3% of all cancer cases. RCCs usually metastasize to the lungs,bones, liver, or brain. Only <1% of...
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StartPage 409
SubjectTerms Bone surgery
Bones
Case Report
Clavicle
Clear cell-type renal cell carcinoma
Conflicts of interest
Fractures
Histopathology
Literature reviews
Liver
Liver cancer
Magnetic resonance imaging
Medical imaging
Melanoma
Metastases
Metastasis
NMR
Nuclear magnetic resonance
Pain
pathological fracture
Patients
Prostate
renal cell carcinoma (RCC)
Scintigraphy
Skin cancer
Technetium
Thyroid gland
Trauma
Tumors
农村信用社
图像显示
复习
文献
病理性

肾细胞
骨折
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Title Pathological clavicular fracture as first presentation of renal cell carcinoma: a case report and literature review
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