Oesophageal carcinoma with solitary patellar metastasis: a rare case report

The incidence of tumours found in the patella, including primary and metastatic tumours, is low. Solitary metastasis of oesophageal carcinoma (OC) in the patella is even rarer. A 50-year-old man presented to our clinic because of pain and limited range of motion in the right knee for 4 hours and aft...

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Main Authors: Yi Zhao, Qianqian Zhang, Helin Feng, Xiyan Zhu
Format: Article
Language:English
Published: SAGE Publishing 2021-04-01
Series:Journal of International Medical Research
Online Access:https://doi.org/10.1177/03000605211009812
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author Yi Zhao
Qianqian Zhang
Helin Feng
Xiyan Zhu
author_facet Yi Zhao
Qianqian Zhang
Helin Feng
Xiyan Zhu
author_sort Yi Zhao
collection DOAJ
description The incidence of tumours found in the patella, including primary and metastatic tumours, is low. Solitary metastasis of oesophageal carcinoma (OC) in the patella is even rarer. A 50-year-old man presented to our clinic because of pain and limited range of motion in the right knee for 4 hours and after a fall. On the basis of the patient’s medical history, he was diagnosed with OC 2 months previously and underwent two cycles of paclitaxel liposome combined with tiggio chemotherapy (oral tiggio, 40 mg, two times/day, with a treatment cycle of 3 weeks). A 99mTc-methylene diphosphonate bone scintigraphy scan showed increased radioactivity in the right patella. A right knee biopsy showed the presence of patellar metastasis from OC. Unfortunately, the patient denied additional treatment and was discharged for personal reasons. At the 1-month follow-up, which was conducted by a telephone survey, we learned that the patient had died of acute pulmonary embolism. X-rays and computed tomography are useful for diagnosing patellar metastases, but 99mTc-methylene diphosphonate bone scintigraphy can help physicians diagnose patellar metastasis of OC more rapidly. Biopsy with pathology is the gold standard for diagnosing patellar metastases. Additionally, timely surgical treatment prolongs the survival time of these patients.
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spelling doaj.art-c131459ec7684dd1aed735141d8d73fb2022-12-21T21:32:30ZengSAGE PublishingJournal of International Medical Research1473-23002021-04-014910.1177/03000605211009812Oesophageal carcinoma with solitary patellar metastasis: a rare case reportYi ZhaoQianqian ZhangHelin FengXiyan ZhuThe incidence of tumours found in the patella, including primary and metastatic tumours, is low. Solitary metastasis of oesophageal carcinoma (OC) in the patella is even rarer. A 50-year-old man presented to our clinic because of pain and limited range of motion in the right knee for 4 hours and after a fall. On the basis of the patient’s medical history, he was diagnosed with OC 2 months previously and underwent two cycles of paclitaxel liposome combined with tiggio chemotherapy (oral tiggio, 40 mg, two times/day, with a treatment cycle of 3 weeks). A 99mTc-methylene diphosphonate bone scintigraphy scan showed increased radioactivity in the right patella. A right knee biopsy showed the presence of patellar metastasis from OC. Unfortunately, the patient denied additional treatment and was discharged for personal reasons. At the 1-month follow-up, which was conducted by a telephone survey, we learned that the patient had died of acute pulmonary embolism. X-rays and computed tomography are useful for diagnosing patellar metastases, but 99mTc-methylene diphosphonate bone scintigraphy can help physicians diagnose patellar metastasis of OC more rapidly. Biopsy with pathology is the gold standard for diagnosing patellar metastases. Additionally, timely surgical treatment prolongs the survival time of these patients.https://doi.org/10.1177/03000605211009812
spellingShingle Yi Zhao
Qianqian Zhang
Helin Feng
Xiyan Zhu
Oesophageal carcinoma with solitary patellar metastasis: a rare case report
Journal of International Medical Research
title Oesophageal carcinoma with solitary patellar metastasis: a rare case report
title_full Oesophageal carcinoma with solitary patellar metastasis: a rare case report
title_fullStr Oesophageal carcinoma with solitary patellar metastasis: a rare case report
title_full_unstemmed Oesophageal carcinoma with solitary patellar metastasis: a rare case report
title_short Oesophageal carcinoma with solitary patellar metastasis: a rare case report
title_sort oesophageal carcinoma with solitary patellar metastasis a rare case report
url https://doi.org/10.1177/03000605211009812
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AT helinfeng oesophagealcarcinomawithsolitarypatellarmetastasisararecasereport
AT xiyanzhu oesophagealcarcinomawithsolitarypatellarmetastasisararecasereport