Cargando…
Treatment of Epiphyseal Metastasis to the Proximal Humerus Secondary to Breast Carcinoma: A Case Report
Metastasis to the bone is a known risk of breast cancer, with the humerus being the most common upper extremity site of metastases, with most lesions located at the humeral diaphysis. We present a unique case of proximal humeral metastasis involving the epiphysis secondary to primary invasive ductal...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10666193/ https://www.ncbi.nlm.nih.gov/pubmed/38022128 http://dx.doi.org/10.7759/cureus.47564 |
_version_ | 1785138988114247680 |
---|---|
author | Singh, Inderpreet Krasney, Leighann Civatte, William Parrish, William |
author_facet | Singh, Inderpreet Krasney, Leighann Civatte, William Parrish, William |
author_sort | Singh, Inderpreet |
collection | PubMed |
description | Metastasis to the bone is a known risk of breast cancer, with the humerus being the most common upper extremity site of metastases, with most lesions located at the humeral diaphysis. We present a unique case of proximal humeral metastasis involving the epiphysis secondary to primary invasive ductal carcinoma in a middle-aged Caucasian female. It is important to have a high degree of suspicion for metastasis when musculoskeletal pain occurs in breast cancer patients, as it may be masked by common, degenerative conditions about the shoulder girdle. When humeral metastases involve the epiphysis, treatment options are complicated by its location, which jeopardizes the integrity of articular cartilage and the function of the shoulder girdle. External beam irradiation provides pain control in a non-invasive manner, sans surgical risks. Surgical intervention will vary depending on the characteristics of the bony lesion, but the use of endoprosthetics has emerged as the most effective option for restoring range of motion and pain control with acceptable rates of implant survival. |
format | Online Article Text |
id | pubmed-10666193 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-106661932023-10-24 Treatment of Epiphyseal Metastasis to the Proximal Humerus Secondary to Breast Carcinoma: A Case Report Singh, Inderpreet Krasney, Leighann Civatte, William Parrish, William Cureus Orthopedics Metastasis to the bone is a known risk of breast cancer, with the humerus being the most common upper extremity site of metastases, with most lesions located at the humeral diaphysis. We present a unique case of proximal humeral metastasis involving the epiphysis secondary to primary invasive ductal carcinoma in a middle-aged Caucasian female. It is important to have a high degree of suspicion for metastasis when musculoskeletal pain occurs in breast cancer patients, as it may be masked by common, degenerative conditions about the shoulder girdle. When humeral metastases involve the epiphysis, treatment options are complicated by its location, which jeopardizes the integrity of articular cartilage and the function of the shoulder girdle. External beam irradiation provides pain control in a non-invasive manner, sans surgical risks. Surgical intervention will vary depending on the characteristics of the bony lesion, but the use of endoprosthetics has emerged as the most effective option for restoring range of motion and pain control with acceptable rates of implant survival. Cureus 2023-10-24 /pmc/articles/PMC10666193/ /pubmed/38022128 http://dx.doi.org/10.7759/cureus.47564 Text en Copyright © 2023, Singh et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Orthopedics Singh, Inderpreet Krasney, Leighann Civatte, William Parrish, William Treatment of Epiphyseal Metastasis to the Proximal Humerus Secondary to Breast Carcinoma: A Case Report |
title | Treatment of Epiphyseal Metastasis to the Proximal Humerus Secondary to Breast Carcinoma: A Case Report |
title_full | Treatment of Epiphyseal Metastasis to the Proximal Humerus Secondary to Breast Carcinoma: A Case Report |
title_fullStr | Treatment of Epiphyseal Metastasis to the Proximal Humerus Secondary to Breast Carcinoma: A Case Report |
title_full_unstemmed | Treatment of Epiphyseal Metastasis to the Proximal Humerus Secondary to Breast Carcinoma: A Case Report |
title_short | Treatment of Epiphyseal Metastasis to the Proximal Humerus Secondary to Breast Carcinoma: A Case Report |
title_sort | treatment of epiphyseal metastasis to the proximal humerus secondary to breast carcinoma: a case report |
topic | Orthopedics |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10666193/ https://www.ncbi.nlm.nih.gov/pubmed/38022128 http://dx.doi.org/10.7759/cureus.47564 |
work_keys_str_mv | AT singhinderpreet treatmentofepiphysealmetastasistotheproximalhumerussecondarytobreastcarcinomaacasereport AT krasneyleighann treatmentofepiphysealmetastasistotheproximalhumerussecondarytobreastcarcinomaacasereport AT civattewilliam treatmentofepiphysealmetastasistotheproximalhumerussecondarytobreastcarcinomaacasereport AT parrishwilliam treatmentofepiphysealmetastasistotheproximalhumerussecondarytobreastcarcinomaacasereport |