Huge trapezial metastasis from gastric adenocarcinoma resected and reconstructed with a vascularized scapular bone graft: A case report.
Drugs (Baltimore). 2017 Dec;96(50):e9294
Authors: Okamoto M, Yamazaki H, Yoshimura Y, Aoki Okay, Tanaka A, Kato H
RATIONALE: Remoted metastasis to the hand bones may be very uncommon. Solely seven circumstances of metastasis to the trapezium have been reported. To the perfect of our information, that is the primary report of a single metastasis to the trapezium from a gastric adenocarcinoma.
PATIENT CONCERNS: A 62-year-old man offered with ache and large swelling in the fitting carpometacarpal joint of the thumb.
DIAGNOSES: The affected person was identified with trapezial metastasis of superior gastric adenocarcinoma.
INTERVENTIONS: The affected person underwent systemic chemotherapy with cisplatin and S-1, radiotherapy to the metastatic bone, and remedy with denosumab. One 12 months later, the massive metastatic tumor was resected, and the hand was reconstructed utilizing vascularized scapular bone.
OUTCOMES: Eighteen months postoperatively, the affected person was happy with the looks of the reconstructed hand and was in a position to make use of his proper thumb in actions of every day dwelling.
LESSONS: Though uncommon, metastasis to the trapezium must be thought of in sufferers with persistent and progressive thumb CMC joint ache.
PMID: 29390390 [PubMed – indexed for MEDLINE]