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Metastasis of renal cell carcinoma around suture anchor implants

  • Baek, Samuel (Department of Orthopedic Surgery, Seoul Red Cross Hospital) ;
  • Shin, Myung Ho (Department of Orthopedic Surgery, CM Hospital) ;
  • Kim, Tae Min (Department of Orthopedic Surgery, Yonsei Gunwoo Hospital) ;
  • Oh, Kyung-Soo (Department of Orthopedic Surgery, Konkuk University School of Medicine) ;
  • Lee, Dong Ryun (Department of Orthopedic Surgery, Konkuk University School of Medicine) ;
  • Chung, Seok Won (Department of Orthopedic Surgery, Konkuk University School of Medicine)
  • Received : 2021.03.24
  • Accepted : 2021.04.28
  • Published : 2021.06.01

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.

Keywords

References

  1. Khan S, Awan SA, Jahangir S, Kamran S, Ahmad IN. Bone marrow metastasis in clear cell renal cell carcinoma: a case study. Cureus 2019;11:e4181.
  2. Troop JK, Mallory TH, Fisher DA, Vaughn BK. Malignant fibrous histiocytoma after total hip arthroplasty: a case report. Clin Orthop Relat Res 1990;(253):297-300.
  3. Bali K, Prabhakar S, Krishnan V, Dhillon MS. Hip hemiarthroplasty periprosthetic loosening caused by papillary ovarian carcinoma metastasis in a 78-year-old woman: a rare presentation and a literature review. Am J Orthop (Belle Mead NJ) 2012;41:33-6.
  4. Nagy MT, Young AF, Gorgees N, Barrington RL. Periprosthetic metastasis: a rare cause for prosthetic loosening. BMJ Case Rep 2013;2013:bcr2013008707.
  5. Murphy P, Alexander P, Senior PV, Fleming J, Kirkham N, Taylor I. Mechanisms of organ selective tumour growth by bloodborne cancer cells. Br J Cancer 1988;57:19-31. https://doi.org/10.1038/bjc.1988.3
  6. Dramis A, Desai AS, Board TN, Hekal WE, Panezai JR. Periprosthetic osteolysis due to metastatic renal cell carcinoma: a case report. Cases J 2008;1:297. https://doi.org/10.1186/1757-1626-1-297
  7. Simon JP, Bellemans J, Samson I. Metastasis from renal cell carcinoma presenting as osteolysis in total hip arthroplasty: a case report. Acta Orthop Belg 2008;74:122-4.
  8. Bonnevialle P, Brouchet A, Sans N, Chevreau C, Roche H. Metastasis on previous hip arthroplasty: three cases. Rev Chir Orthop Reparatrice Appar Mot 2005;91:558-63. https://doi.org/10.1016/S0035-1040(05)84446-0
  9. Dib LL, Soares AL, Sandoval RL, Nannmark U. Breast metastasis around dental implants: a case report. Clin Implant Dent Relat Res 2007;9:112-5. https://doi.org/10.1111/j.1708-8208.2007.00033.x
  10. Kim JH, Kim JI, Lee HJ, et al. Long-term follow-up of extensive peri-anchor (Poly-L/D-lactic Acid) cyst formation after arthroscopic rotator cuff repair: a case report. Clin Shoulder Elbow 2019;22:100-5. https://doi.org/10.5397/cise.2019.22.2.100