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...
Saved in:
Published in | Cancer biology & medicine Vol. 12; no. 4; pp. 409 - 412 |
---|---|
Main Authors | , , , , , |
Format | Journal Article |
Language | English |
Published |
China
Chinese Anti-Cancer Association (CACA), Cancer Biology & Medicine
01.12.2015
Chinese Anti-Cancer Association China Anti-Cancer Association |
Subjects | |
Online Access | Get full text |
Cover
Loading…
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 |
Author_xml | – sequence: 1 givenname: Yan surname: Kong fullname: Kong, Yan organization: 1 Department of Medical Oncology, the Fourth Hospital of Hebei Medical University, Shijiazhuang 050011, China ; 2 Department of Orthopedics, the Fourth Hospital of Hebei Medical University, Shijiazhuang 050011, China ; 3 Postgraduate School, Tianjin Medical University, Tianjin 300070, China – sequence: 2 givenname: Jin surname: Wang fullname: Wang, Jin organization: 1 Department of Medical Oncology, the Fourth Hospital of Hebei Medical University, Shijiazhuang 050011, China ; 2 Department of Orthopedics, the Fourth Hospital of Hebei Medical University, Shijiazhuang 050011, China ; 3 Postgraduate School, Tianjin Medical University, Tianjin 300070, China – sequence: 3 givenname: Huan surname: Li fullname: Li, Huan organization: 1 Department of Medical Oncology, the Fourth Hospital of Hebei Medical University, Shijiazhuang 050011, China ; 2 Department of Orthopedics, the Fourth Hospital of Hebei Medical University, Shijiazhuang 050011, China ; 3 Postgraduate School, Tianjin Medical University, Tianjin 300070, China – sequence: 4 givenname: Peng surname: Guo fullname: Guo, Peng organization: 1 Department of Medical Oncology, the Fourth Hospital of Hebei Medical University, Shijiazhuang 050011, China ; 2 Department of Orthopedics, the Fourth Hospital of Hebei Medical University, Shijiazhuang 050011, China ; 3 Postgraduate School, Tianjin Medical University, Tianjin 300070, China – sequence: 5 givenname: Jian-Fa surname: Xu fullname: Xu, Jian-Fa organization: 1 Department of Medical Oncology, the Fourth Hospital of Hebei Medical University, Shijiazhuang 050011, China ; 2 Department of Orthopedics, the Fourth Hospital of Hebei Medical University, Shijiazhuang 050011, China ; 3 Postgraduate School, Tianjin Medical University, Tianjin 300070, China – sequence: 6 givenname: He-Lin surname: Feng fullname: Feng, He-Lin organization: 1 Department of Medical Oncology, the Fourth Hospital of Hebei Medical University, Shijiazhuang 050011, China ; 2 Department of Orthopedics, the Fourth Hospital of Hebei Medical University, Shijiazhuang 050011, China ; 3 Postgraduate School, Tianjin Medical University, Tianjin 300070, China |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/26779378$$D View this record in MEDLINE/PubMed |
BookMark | eNqNkt1uFCEUgImpsbX2FcykXu8Kw_-NiWmsNmmiF3o9OcPALJtZ2AKzja_is_hOfQWxWzftVeUCDvDxhXPgNToKMViEzgleSqbl-_XS5xyWLdZ8QTUjNSJ8iTGlL9DJYfXoUXyMznJe49qUooKpV-i4FVJqKtUJmr9BWcUpjt7A1JgJdt7ME6TGJTBlTraB3Difcmm2yWYbChQfQxNdk2z4e8ROtYNkfIgbuPv9q4E6zbZub2MqDYShmXyxCe5tye68vX2DXjqYsj17GE_Rj8tP3y--LK6_fr66-Hi9MEzzstAGFGuxbZlU1jgpMBuwFkIRwJL3jnNBAPpeEnCqJaZX2rSUMKIN5XLg9BRd7b1DhHW3TX4D6WcXwXf3CzGNHaTizWQ7ZzXIgWAYnGOWCU2kJs4QjHtoiSXV9WHv2s79xg6mliLB9ET6dCf4VTfGXcckFpyIKnj3IEjxZra5dOs4p1rD3LUEK0pUS9XzlFCMP0thXR_-PyhBZaXePk7skNG_T1KB8z1gVjGMNz6MB0YIWa_DhaB_AI6kz_E |
CitedBy_id | crossref_primary_10_7759_cureus_26696 |
ContentType | Journal Article |
Copyright | 2018. This work is licensed under https://creativecommons.org/licenses/by/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. 2015 Cancer Biology & Medicine 2015 Cancer Biology & Medicine |
Copyright_xml | – notice: 2018. This work is licensed under https://creativecommons.org/licenses/by/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. – notice: 2015 Cancer Biology & Medicine 2015 Cancer Biology & Medicine |
DBID | 2RA 92L CQIGP W91 ~WA NPM 8FE 8FH ABUWG AFKRA AZQEC BBNVY BENPR BHPHI BVBZV CCPQU DWQXO GNUQQ HCIFZ LK8 M7P PIMPY PQEST PQQKQ PQUKI PRINS 5PM DOA |
DOI | 10.7497/j.issn.2095-3941.2015.0033 |
DatabaseName | 维普_期刊 中文科技期刊数据库-CALIS站点 维普中文期刊数据库 中文科技期刊数据库-医药卫生 中文科技期刊数据库- 镜像站点 PubMed ProQuest SciTech Collection ProQuest Natural Science Collection ProQuest Central (Alumni) ProQuest Central UK/Ireland ProQuest Central Essentials Biological Science Collection ProQuest Central Natural Science Collection East & South Asia Database ProQuest One Community College ProQuest Central ProQuest Central Student SciTech Premium Collection Biological Sciences Biological Science Database Publicly Available Content Database ProQuest One Academic Eastern Edition (DO NOT USE) ProQuest One Academic ProQuest One Academic UKI Edition ProQuest Central China PubMed Central (Full Participant titles) DOAJ Directory of Open Access Journals |
DatabaseTitle | PubMed Publicly Available Content Database ProQuest Central Student ProQuest Biological Science Collection ProQuest Central Essentials ProQuest One Academic Eastern Edition ProQuest Central (Alumni Edition) SciTech Premium Collection ProQuest One Community College ProQuest Natural Science Collection Biological Science Database ProQuest SciTech Collection ProQuest Central China East & South Asia Database ProQuest Central ProQuest One Academic UKI Edition Natural Science Collection ProQuest Central Korea Biological Science Collection ProQuest One Academic |
DatabaseTitleList | Publicly Available Content Database Publicly Available Content Database Publicly Available Content Database Publicly Available Content Database PubMed |
Database_xml | – sequence: 1 dbid: DOA name: Directory of Open Access Journals url: https://www.doaj.org/ sourceTypes: Open Website – sequence: 2 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 3 dbid: BENPR name: ProQuest Central url: https://www.proquest.com/central sourceTypes: Aggregation Database |
DeliveryMethod | fulltext_linktorsrc |
Discipline | Medicine |
DocumentTitleAlternate | Pathological clavicular fracture as first presentation of renal cell carcinoma: a case report and literature review |
EISSN | 2095-3941 |
EndPage | 412 |
ExternalDocumentID | oai_doaj_org_article_fe9a7d10adff4e4691791fc100ba21e1 26779378 667845566 |
Genre | Case Reports Report Case Study |
GeographicLocations | Saskatchewan Canada East Asia Oklahoma |
GeographicLocations_xml | – name: East Asia – name: Saskatchewan Canada – name: Oklahoma |
GroupedDBID | -05 -0E -SE -S~ 2B. 2C~ 2RA 5VR 8FE 8FH 92F 92I 92L 92M 93N 93R 9D9 9DE AAKDD ABDBF ABKZE ABUWG ADRAZ AFKRA AFUIB ALMA_UNASSIGNED_HOLDINGS BBNVY BENPR BHPHI BPHCQ BVBZV CAJEE CAJUS CCEZO CCPQU CHBEP CIEJG CQIGP DIK EBD EOJEC ESX FA0 GROUPED_DOAJ HCIFZ HYE JUIAU KQ8 LK8 M48 M7P MET OBODZ OK1 PIMPY PQQKQ PROAC Q-- Q-4 R-E RNS RPM RT5 S.. T8U TCJ TGQ U1F U1G U5E U5O W91 WFFXF ~N8 ~WA AAXDM NPM PGMZT AZQEC DWQXO GNUQQ PQEST PQUKI PRINS 5PM |
ID | FETCH-LOGICAL-c495t-9ca8420e2478ecf7604d096681a075bf5561aabb71af821cb89c231419c357d53 |
IEDL.DBID | RPM |
ISSN | 2095-3941 |
IngestDate | Tue Oct 22 15:14:13 EDT 2024 Tue Sep 17 21:04:16 EDT 2024 Thu Oct 10 18:47:05 EDT 2024 Thu Oct 10 17:17:06 EDT 2024 Thu Oct 10 17:25:20 EDT 2024 Thu Oct 10 19:32:57 EDT 2024 Wed Oct 16 00:48:37 EDT 2024 Wed Feb 14 10:21:26 EST 2024 |
IsDoiOpenAccess | true |
IsOpenAccess | true |
IsPeerReviewed | true |
IsScholarly | true |
Issue | 4 |
Keywords | Clavicle metastasis pathological fracture renal cell carcinoma (RCC) |
Language | English |
License | This work is licensed under a Creative Commons Attribution 3.0 Unported License. To view a copy of this license, visit http://creativecommons.org/licenses/by/3.0 |
LinkModel | DirectLink |
MergedId | FETCHMERGED-LOGICAL-c495t-9ca8420e2478ecf7604d096681a075bf5561aabb71af821cb89c231419c357d53 |
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. 12-1431/R E-mail: fenghelin0311@126.com Correspondence to: He-Lin Feng |
OpenAccessLink | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4706516/ |
PMID | 26779378 |
PQID | 2108309637 |
PQPubID | 2049696 |
PageCount | 4 |
ParticipantIDs | doaj_primary_oai_doaj_org_article_fe9a7d10adff4e4691791fc100ba21e1 pubmedcentral_primary_oai_pubmedcentral_nih_gov_4706516 proquest_journals_2108318238 proquest_journals_2108316845 proquest_journals_2108309941 proquest_journals_2108309637 pubmed_primary_26779378 chongqing_primary_667845566 |
PublicationCentury | 2000 |
PublicationDate | 2015-12-01 |
PublicationDateYYYYMMDD | 2015-12-01 |
PublicationDate_xml | – month: 12 year: 2015 text: 2015-12-01 day: 01 |
PublicationDecade | 2010 |
PublicationPlace | China |
PublicationPlace_xml | – name: China – name: Tianjin |
PublicationTitle | Cancer biology & medicine |
PublicationTitleAlternate | Cancer Biology & Medicine |
PublicationYear | 2015 |
Publisher | Chinese Anti-Cancer Association (CACA), Cancer Biology & Medicine Chinese Anti-Cancer Association China Anti-Cancer Association |
Publisher_xml | – name: Chinese Anti-Cancer Association (CACA), Cancer Biology & Medicine – name: Chinese Anti-Cancer Association – name: China Anti-Cancer Association |
SSID | ssj0000883648 |
Score | 2.0917397 |
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... |
SourceID | doaj pubmedcentral proquest pubmed chongqing |
SourceType | Open Website Open Access Repository Aggregation Database Index Database Publisher |
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 癌 肾细胞 骨折 |
SummonAdditionalLinks | – databaseName: DOAJ Directory of Open Access Journals dbid: DOA link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV07T-QwELYQBdAgnsfykgvaQBx7_bjuQCCEBKIAiS6yHRv2xGVhd7nffzNxCLsIuIYyniiJnc_2N_b4G0IORMWd4xXLVGA8E6LCbIAxZCoKbaIsHJN4wPnySp7fiou7_t1Uqi-MCUvywKnhjmIwVlUst1WMIoAzh3qa0bM8d7ZgITk-uZlyppoxWGsum9RZBXCIjBvBkuKoEkYd_W462GFnwggvXFrB7LmLMOrU988wb7Qq_h9Rz_cRlFNT0tkKWW65JP2V6rBK5kK9RhYu293ydTK-tpNucKP-0f4dNFGnNOLRqJdRoHZM4wD4H316O4VU02Gko4BPxlV96jHbUD38Y39SCxfjQNM-A7V1RR87VWaaDsFskNuz05uT86xNspB58I0mmfFWiyIPhVA6-KhkLipwa6RmFtiEi5g-01rnFLNRF8w7bTxwQsGM531V9fkmma-HddgiVAS4AUoU905oqYG8OcCIlsb1Y5HHHtnpGrd8SmIapYTZUsBLZI8cY3N3BtS9bgoADWWLhvJ_aOiR3defVbadcVwCPjSHOnH1lRlw8LmZSfjIL8wamE-P_Eig6KpQSIXyg2BRM3CZqeOspR48NBrfArefmdz-jkbZIUsI8BSEs0vmJ6OXsAdUauL2m17zD3iUGzo priority: 102 providerName: Directory of Open Access Journals – databaseName: ProQuest Central dbid: BENPR link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV1Lb9QwELZgKwEXVF7t0oJ84BoaP9Z2uCBataqQWlWISr1FfpZFJdlutvx-ZhI3sAj2GE-UxM4343l5hpB3MgjnRGCFjkwUUgbsBphioZM0VVLcMYUHnM_O1eml_Hw1u8oOty6nVd7LxF5Qh9ajj_wATBMD-IMd5uPitsCuURhdzS00HpItDpYCn5Ctw-Pziy-jlwV4SKi-hRYHXaIQlWRD5VEtK33wvWe09yMJM73QxYJddB-D9Gmub2H_yNX8_6WC_p1J-cfWdLJNnmadkn4aQPCMPIjNc_LoLEfNX5Duwq5GIUf9jf0577NPacIjUnfLSG1H0xz0QLr4fRqpoW2iy4hPRu8-9dh1qGl_2A_UwkUX6RBvoLYJ9GaszkyHwzAvyeXJ8dej0yI3Wyg82EirovLWSF5GLrWJPmlVygDmjTLMglbhErbRtNY5zWwynHlnKg-6oWSVFzMdZuIVmTRtE3cJlRFugBEtvJNGGVDiHGDFqMrNEi_TlOyNi1svhqIatYJdU8JL1JQc4nKPBKx_3Q-0y-s6s1OdYmV1YKUNKckIJj5WWU2elaWznEU2Jfv3P6vOTNnVPYRgTkJvIgMO_k9mCj5yAxnxOSU7AyjGKXClsQwhUPQaXNbmuE5p5t_6Wt8Sw9BMvd78yj3yBKE7pNnsk8lqeRffgLK0cm8zR_wCu6kTSA priority: 102 providerName: ProQuest – databaseName: Scholars Portal Journals: Open Access(OpenAccess) dbid: M48 link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwhV1LT9wwELYolapeKqCv5SUfeg2NY8ePXhBURQgJ1ENX4hbZjg1bLQlkl6r8-84k2ZSt6HKMJ3FiZ8b-xvZ8Q8gnUXLneMkSFRhPhCgxG2AMiYpCmygzxyQGOJ9fyNOxOLvML9fIIuK678DZk64d5pMaN9OD33cPh2DwgF8PlDDq88_WXsDXM3nCjUCvj-FKCecvyMsMCbrwSF8P-9sRWmsu28RawzMdH-kz1SH_wnVdXd3BrNJz_D8FTP89X_lowjrZIG96pEmPOtXYJGuh2iKvzvu99Ldk9t3Oh6GP-qn9NWnPpNKIgVP3TaB2RuME0CG9_RujVNE60iZgzbjmTz3mIqrqG_uFWriYBdrtQlBblXQ6cDbTLkTmHRmffPvx9TTpUzAkHjyneWK81SJLQyaUDj4qmYoSnB6pmQWs4SIm17TWOcVs1BnzThsPiFEw43muypy_J-tVXYWPhIoAN0CJ4t4JLTVAOwcapKVxeczSOCI7Q-cWtx3VRiFhLhXwEjkix9jdgwBZsduCurkqeiMrYjBWlSy1ZYwigOOP3KvRszR1NmOBjcju4mcVC00rwOfVHNrE1Sox6MH_xUzCR64Qa8BFI_KhU4qhCZlUSE4IErWkLkttXJZUk-uWAVzg5jST26tfuUNeo-p2h292yfq8uQ97AKHmbr-1hz8QKhek priority: 102 providerName: Scholars Portal |
Title | Pathological clavicular fracture as first presentation of renal cell carcinoma: a case report and literature review |
URI | http://lib.cqvip.com/qk/87259B/201504/667845566.html https://www.ncbi.nlm.nih.gov/pubmed/26779378 https://www.proquest.com/docview/2108309637 https://www.proquest.com/docview/2108309941 https://www.proquest.com/docview/2108316845 https://www.proquest.com/docview/2108318238 https://pubmed.ncbi.nlm.nih.gov/PMC4706516 https://doaj.org/article/fe9a7d10adff4e4691791fc100ba21e1 |
Volume | 12 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV3Pb9MwFLa2ISEuiN-EjcoHrmnj2LEdbutYNSF1qhCTdotsx946tU5pO_5-np00rAh24JIoef0RJ5_j79nvfQ-hT6ymWtOapMISmjJWh2qAzqbCMVk6nmvCQ4Lz9JJfXLGv18X1ASp2uTAxaN_o-dAvlkM_v42xlaulGe3ixEaz6RkLa3OEjw7RIQD0gYseX79SUh6rZuVAH1JaMtKKjQpWitFd7FvD3hSCu8KsCg0FdXIuglycDDoLt42_-QGjR6fl_zcC-mcc5YOBafICPe8YJT5tr_wlOrD-FXo67dbMX6PNTG37Vxw2C_VzHmNPsQsJUvdri9UGuzmwQLz6nYvkcePw2oZfDnP72ISaQ75Zqs9YwcHG4na1AStf40WvzYzbVJg36Gpy_v3sIu1KLaQGPKRtWholWZ7ZnAlpjRM8YzU4N1wSBZxCu1BEUymtBVFO5sRoWRpghoyUhhaiLuhbdOQbb98jzCx8AM4IajSTXAKF04AUyUtduDxzCTrub261aiU1Kg5jJoM_4Qkah9vdG4L6dTzRrG-qDgOVs6USNclU7Ryz4OAHjVVnSJZplRNLEnSye1hV1yU3Ffi2kkKbqHjMDJD4t5lwuMhHzBL4T4LetaDom7BDVYLEHlz22rhvAeBHpe8O6B_--5vH6FkAeBt_c4KOtut7-xFY1FYP0JPT8ZfxBPbj88vZt0GcjYDtlMlB7FG_ACYaH9E |
link.rule.ids | 230,315,730,783,787,867,888,2109,2228,21402,24332,27938,27939,33758,43819,53806,53808,74638 |
linkProvider | National Library of Medicine |
linkToHtml | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV1Lb9QwELaglSgXxJulBXzgGhrHXtvhgihqtUB3VaFW6i3ys11Uku1my-9nJnEDi2CP8URJ7Hxjz4zH3xDyVnhuLfcsU4HxTAiP1QBjyFQUuoyysEziAefpTE7OxJfz8XkKuLUprfJ2Tuwmat84jJHvg2uiAX-wwnxYXGdYNQp3V1MJjbtkG6mqANXbB4ezk29DlAV0iMuuhFYBtkTGS8F65lElSrX_vVO0d4MIM70wxIJVdHdg9qkvrmH9SGz-_zJB_86k_GNpOnpIHiSbkn7sQfCI3An1Y3JvmnbNn5D2xKyGSY66K_Nz3mWf0ohHpG6WgZqWxjnYgXTx-zRSTZtIlwGfjNF96rDqUN38MO-pgYs20H6_gZra06uBnZn2h2GekrOjw9NPkywVW8gc-EirrHRGiyIPhVA6uKhkLjy4N1IzA1aFjVhG0xhrFTNRF8xZXTqwDQUrHR8rP-bPyFbd1OEFoSLADdCiuLNCSw1GnAWsaFnacSzyOCK7w-BWi55Uo5Kwagp4iRyRAxzuQYD8111Ds7yokjpVMZRGeZYbH6MI4OIjy2p0LM-tKVhgI7J3-7OqpJRt1UEI-sTVJjHg4P9iJuEjN4gRnyPyvAfF0IVCKqQhBIlag8taH9cl9fyy4_oWuA3N5MvNr3xDdian0-Pq-PPs6y65jzDuU272yNZqeRNegeG0sq-TdvwC9RkWQg |
linkToPdf | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV3db9MwELegk8ZeEN8rG-AHXkPj2LWdvSAGq8bHqgoxaW-R7dij05Z0Tbe_n7vECxRBH-OLktj53fm-fEfIW1Fya3nJEuUZT4QosRtg8IkKQudBZpZJPOB8MpXHp-LL2fgs5j81Ma3yTia2grqsHfrIR2CaaMAf7DCjENMiZp8m7xfXCXaQwkhrbKdxn2wpAagakK3Do-nse-9xAX7ism2nlYFekfBcsK4KqRK5Gl20TPeuJ2HWF7pbsKPuA5BE1fk17CWxsv-_1NG_syr_2KYmj8jDqF_SDx0gHpN7vnpCtk9iBP0paWZm1Qs86i7N7bzNRKUBj0vdLD01DQ1z0Anp4vfJpIrWgS49Phk9_dRhB6KqvjIH1MBF42kXe6CmKullX6mZdgdjnpHTydGPj8dJbLyQOLCXVknujBZZ6jOhtHdByVSUYOpIzQxoGDZgS01jrFXMBJ0xZ3XuQE8ULHd8rMoxf04GVV35XUKFhxtgRHFnhZYaFDoLuNEyt-OQpWFI9vrFLRZdgY1Cwg4q4CVySA5xuXsC1sJuB-rleRFZqwg-N6pkqSlDEB7Mfay4GhxLU2sy5tmQ7N_9rCIyaFO0cII5cbWJDDj4P5lJ-MgNZMTqkLzoQNFPIZMKSxICRa3BZW2O65Rq_rOt-y0wJM3ky82vfEO2gTGKb5-nX_fIDqK4y77ZJ4PV8sa_Ah1qZV9H5vgFFvcadg |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Pathological+clavicular+fracture+as+first+presentation+of+renal+cell+carcinoma%3A+a+case+report+and+literature+review&rft.jtitle=Cancer+biology+%26+medicine&rft.au=Kong%2C+Yan&rft.au=Wang%2C+Jin&rft.au=Li%2C+Huan&rft.au=Guo%2C+Peng&rft.date=2015-12-01&rft.pub=Chinese+Anti-Cancer+Association+%28CACA%29%2C+Cancer+Biology+%26+Medicine&rft.issn=2095-3941&rft.volume=12&rft.issue=1&rft.spage=409&rft_id=info:doi/10.7497%2Fj.issn.2095-3941.2015.0033&rft.externalDBID=HAS_PDF_LINK |
thumbnail_s | http://utb.summon.serialssolutions.com/2.0.0/image/custom?url=http%3A%2F%2Fimage.cqvip.com%2Fvip1000%2Fqk%2F87259B%2F87259B.jpg |