Journal of

Case Reports and Images in Orthopedics and Rheumatology

 
     
Case Report
 
Metastatic bladder cancer with lesion to the proximal femur: A case report
Sally Corey1, Andrew Delmas2, Morakinyo Toney3, Thomas Dykes4, Randy Hamill5, Craig Cameron6
1DO, MC, USA, Orthopedic surgery resident, Dwight D. Eisenhower Army Medical Center.
2MD, MC, USA, Staff Hematology/Oncology, Dwight D. Eisenhower Army Medical Center.
3MD, Deputy Chief Radiology, Dwight D. Eisenhower Army Medical Center.
4MD, Chief of Urology at the Charlie Norwood VA Medical Center.
5MD, Staff Pathology, Dwight D. Eisenhower Army Medical Center.
6DO, Orthopedic oncology specialist, Dwight D. Eisenhower Army Medical Center.

Article ID: 100003Z14CC2016
doi:10.5348/Z14-2016-3-CR-3

Address correspondence to:
Sally Corey
DO, Department of Orthopedic Surgery
300 East Hospital Road
Fort Gordon, GA 30905

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How to cite this article:
Corey S, Delmas A, Toney M, Dykes T, Hamill R, Cameron C. Metastatic bladder cancer with lesion to the proximal femur: A case report. J Case Rep Images Orthop Rheum 2016;1:12–15.


Abstract
Introduction: Although the most common primary tumors with metastasis to bone are prostate, breast, kidney, lung, and thyroid cancer; metastasis to bone occurs in 30–40% of patients with muscle-invasive bladder cancer. The femur is the third most common location for bladder cancer metastasis to bone surpassed by the spine and pelvis. Treatment for metastatic lesions of the femur often requires orthopedic intervention with intramedullary stabilization. The identification of the lesion is regularly performed concomitantly with the stabilization procedure through the collection and analysis of intramedullary reaming.
Case Report: We present a case of muscle-invasive bladder cancer with metastasis to the proximal femur treated with intramedullary stabilization, in which intramedullary reaming were inconclusive for pathology and an open biopsy was required.
Conclusion: Intramedullary reaming is not always adequate to identify the primary tumor in cases of metastatic lesions. The Management of metastatic lesions in bone requires an understanding of the characteristics, behaviors, and treatment of the primary tumor, as well as the management of the bony lesion.

Keywords: Bladder, Cancer, Femur, Metastatic


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Author Contributions
Sally Corey – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Andrew Delmas – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Morakinyo Toney – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Thomas Dykes – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Randy Hamill – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Craig Cameron – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Sally Corey et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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