Case Report: Metastatic involvement of the acromioclavicular joint in a patient with papillary carcinoma of the ureter
Ureteral papillary carcinoma is a rare subtype of urothelial carcinoma, ranking fourth among cancers following prostate (or breast) cancer, lung cancer, and colorectal cancer. Although previous studies have documented bone metastases mainly in the pelvis, spine, ribs, and femur, this case report pre...
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Frontiers Media S.A.
2025-01-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2024.1298556/full |
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| author | Cihangir Türemiş Mustafa Çeltik Mehmet Erduran |
| author_facet | Cihangir Türemiş Mustafa Çeltik Mehmet Erduran |
| author_sort | Cihangir Türemiş |
| collection | DOAJ |
| description | Ureteral papillary carcinoma is a rare subtype of urothelial carcinoma, ranking fourth among cancers following prostate (or breast) cancer, lung cancer, and colorectal cancer. Although previous studies have documented bone metastases mainly in the pelvis, spine, ribs, and femur, this case report presents the first recorded instance of metastasis occurring in the acromioclavicular joint. A 62-year-old woman with a history of left flank pain and macroscopic hematuria underwent a left nephroureterectomy, which revealed ureteral papillary carcinoma. Three years later, she reported left shoulder pain, leading to the discovery of a metastatic lesion in the distal clavicle. Approximately 9 cm of metastatic bone was resected while preserving nearby nerve and vascular structures. The resulting bone defect was grafted with a 9-cm bone graft removed from the middle third of the fibula. This case report underscores the importance of considering distant metastases, even in atypical locations, in patients with ureteral papillary carcinoma and aims to share the entire treatment journey and insights gained. |
| format | Article |
| id | doaj-art-8f83ac5482714b82a06b8a8a333962fd |
| institution | Kabale University |
| issn | 2296-875X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj-art-8f83ac5482714b82a06b8a8a333962fd2025-01-08T06:11:58ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2025-01-011110.3389/fsurg.2024.12985561298556Case Report: Metastatic involvement of the acromioclavicular joint in a patient with papillary carcinoma of the ureterCihangir Türemiş0Mustafa Çeltik1Mehmet Erduran2Cesme Alper Cizgenakat State Hospital, Izmir, TürkiyeKağızman State Hospital, Kars, TürkiyeDepartment of Orthopedics, Dokuz Eylul University, Izmir, TürkiyeUreteral papillary carcinoma is a rare subtype of urothelial carcinoma, ranking fourth among cancers following prostate (or breast) cancer, lung cancer, and colorectal cancer. Although previous studies have documented bone metastases mainly in the pelvis, spine, ribs, and femur, this case report presents the first recorded instance of metastasis occurring in the acromioclavicular joint. A 62-year-old woman with a history of left flank pain and macroscopic hematuria underwent a left nephroureterectomy, which revealed ureteral papillary carcinoma. Three years later, she reported left shoulder pain, leading to the discovery of a metastatic lesion in the distal clavicle. Approximately 9 cm of metastatic bone was resected while preserving nearby nerve and vascular structures. The resulting bone defect was grafted with a 9-cm bone graft removed from the middle third of the fibula. This case report underscores the importance of considering distant metastases, even in atypical locations, in patients with ureteral papillary carcinoma and aims to share the entire treatment journey and insights gained.https://www.frontiersin.org/articles/10.3389/fsurg.2024.1298556/fullureteral papillary carcinomaacromioclavicular (AC) jointmetastasesclaviculareconstruction method |
| spellingShingle | Cihangir Türemiş Mustafa Çeltik Mehmet Erduran Case Report: Metastatic involvement of the acromioclavicular joint in a patient with papillary carcinoma of the ureter Frontiers in Surgery ureteral papillary carcinoma acromioclavicular (AC) joint metastases clavicula reconstruction method |
| title | Case Report: Metastatic involvement of the acromioclavicular joint in a patient with papillary carcinoma of the ureter |
| title_full | Case Report: Metastatic involvement of the acromioclavicular joint in a patient with papillary carcinoma of the ureter |
| title_fullStr | Case Report: Metastatic involvement of the acromioclavicular joint in a patient with papillary carcinoma of the ureter |
| title_full_unstemmed | Case Report: Metastatic involvement of the acromioclavicular joint in a patient with papillary carcinoma of the ureter |
| title_short | Case Report: Metastatic involvement of the acromioclavicular joint in a patient with papillary carcinoma of the ureter |
| title_sort | case report metastatic involvement of the acromioclavicular joint in a patient with papillary carcinoma of the ureter |
| topic | ureteral papillary carcinoma acromioclavicular (AC) joint metastases clavicula reconstruction method |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2024.1298556/full |
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