机构地区:[1]Traumatology and Orthopedics Department of Amirou Boubacar Diallo National Hospital, Niamey, Niger [2]Faculty of Health Sciences, Abdou Moumouni University of Niamey, Niamey, Niger
出 处:《Open Journal of Orthopedics》2023年第7期275-281,共7页矫形学期刊(英文)
摘 要:Introduction: Adult bone tumors may be primary or secondary. Their diagnosis is often based on the results of imaging tests but can also be completed by biopsy. Case Presentation: We report the observation of a clinical case of fortuitous discovery in the orthopaedic-traumatology department of the national hospital Amirou Boubacar Diallo of Niamey, pathological fracture of the right humeral shaft secondary to metastasis of clear-cell adenocarcinoma of renal origin, a 57-year-old man, a refrigeration engineer by profession, from Niger living in the Middle East. This patient has no known pathological history. He consulted us for pain in his right arm that was more severe at night. All imaging and pathology examinations carried out both in Niger and in the Middle East confirmed the diagnosis of humeral metastasis of clear-cell renal cell carcinoma. Surgical management consisted of tumor resection and Kuntscher-type centromedullary alignment nailing of the fracture site. The loss of bone substance in the fracture is filled with acrylic cement. The treatment was completed by chemotherapy. Conclusion: Bone tumours are most often secondary in location. However, the diagnosis must be sought in the presence of any clinical sign.Introduction: Adult bone tumors may be primary or secondary. Their diagnosis is often based on the results of imaging tests but can also be completed by biopsy. Case Presentation: We report the observation of a clinical case of fortuitous discovery in the orthopaedic-traumatology department of the national hospital Amirou Boubacar Diallo of Niamey, pathological fracture of the right humeral shaft secondary to metastasis of clear-cell adenocarcinoma of renal origin, a 57-year-old man, a refrigeration engineer by profession, from Niger living in the Middle East. This patient has no known pathological history. He consulted us for pain in his right arm that was more severe at night. All imaging and pathology examinations carried out both in Niger and in the Middle East confirmed the diagnosis of humeral metastasis of clear-cell renal cell carcinoma. Surgical management consisted of tumor resection and Kuntscher-type centromedullary alignment nailing of the fracture site. The loss of bone substance in the fracture is filled with acrylic cement. The treatment was completed by chemotherapy. Conclusion: Bone tumours are most often secondary in location. However, the diagnosis must be sought in the presence of any clinical sign.
关 键 词:Humeral Metastasis Renal Adenocarcinoma Centromedullary Nailing
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