Abstract
Introduction
Soft tissue is a rare localization of carcinoma metastasis. Skeletal muscle is considered the most frequent site. The aim of this paper is to report a very rare localization of soft-tissue metastasis of lung adenocarcinoma in the lower leg interosseous membrane, surgically treated at our department.
Materials and methods
A 66-year-old man with a history of lung adenocarcinoma was admitted to our department because he complained of a pain resistant to drugs that had persisted for 1 month. Imaging showed that the lesion was unique, localized in the interosseous membrane, with a distal margin more than 2 cm above the ankle platform. A distal fibula resection, including the tumour and a reconstruction according to Capanna type A2 was performed.
Results
At the 6 months follow-up, the patient was walking without external support.
Conclusion
Surgery is not the treatment of choice for soft-tissue metastases, but it may be recommended when the lesion is unique and inducing a pain resistant to anti-inflammatory drugs.
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References
Acinas GO, Fernandez FA, Satue EG et al (1984) Metastasis of malignant neoplasm to skeletal muscle. Rev Esp Oncol 31:57–67
Bettendorf U, Remmele W, Laaf H (1976) Bone formation by cancer metastases: case report and review of literature. Virchows Arch [A] 369:359–365
Capanna R, De Biase P (??) Limb salvage for tumours of the lower leg and foot. Efort 55–700-D-10:1–8
Capanna R, Van Horn JR, Ruggieri P, Bettelli G, Campanacci M (1986) Reconstruction after resection of the distal fibula for bone tumor. Acta Ortop Scand 57:290–294
Damron TA, Heiner J (2000) Managment of metastatic disease to soft tissue. Orthop Clin North Am 31:661–673
Di Giorgio A, Schiffino L, Canavese A, Arnone P, Scarpini M, Almansour M (1999) Le Metastasi muscolari da carcinoma broncopolmonare. Minerva Chir 54:461–468
Herring CL, Harrelson JM, Scully SP (1998) Metastatic carcinoma to skeletal muscle. Clin Orthop 355:272–281
Pearson C (1969) Incidence and type of pathologic alterations observed in muscle in a routine survey. Neurology 9:757–766
Rossi A, Rosati G, Chiacchio R., Manzione L (2000) Contemporaneous bilateral forearm triceps metastases from adenocarcinoma of the lung. Oncology 59:28–30
Rotterdam H, Slavutin L (1980) Secondary tumors of soft tissues: an autopsy study. In: Fernoglio C, Wolff M (eds) Progress In surgical pathology. Masson, New York, pp 147–168
Sarma DP, Kovac A, Sorro N (1981) Metastatic carcinoma of the skeletal muscle. South Med J 74:484–485
Sim FH, Papagelopulos P, Galanis E, Carci-Lluch B (1998) Distal fibulectomy for malignant or aggressive benign tumors. Abstract book, combined meeting of the American and European Musculoskeletal Tumor Societies, Washington DC
Sudo A, Ogihara Y, Shiokawa Y, Fujinami S, Sekiguchi S (1993) Intramuscular metastasis of carcinoma. Clin Orthop 296:213–217
Willis RA (1973) Secondary tumors in sundry unusual situations. In: Willis RA (ed) The spread of tumours in the body. Butterworths, London, pp 282–300
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An erratum to this article can be found at http://dx.doi.org/10.1007/s00402-003-0613-x
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Maccauro, G., Liuzza, F., Muratori, F. et al. A very rare localization of metastatic lung carcinoma to the interosseous membrane. Arch Orthop Trauma Surg 123, 563–566 (2003). https://doi.org/10.1007/s00402-003-0558-0
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DOI: https://doi.org/10.1007/s00402-003-0558-0