A Right Humeral Pathologic Fracture due to Metastatic Renal Cell Carcinoma at 12 Years Post Right Nephrectomy: A Case Report and Literature Review

右側腎細胞癌於腎臟切除手術十二年後轉移造成右側肱骨病理性骨折病例報告及文獻探討

黃鐘銘(Zhon-Min Huang) ； 殷約翰(Jue-Hawn Yin) ； 鄭宇傑(Yu-Chieh Cheng) ； 童敏哲(Min-Che Tung)

《童綜合醫學雜誌》 7卷1期 (2013/06) Pp. 26-30

摘要

骨頭是為腎細胞癌第二常見的轉移部位。放射線治療及化學治療對大部分腎細胞癌的病人都不是那麼有效。手術治療是一個安全而且可以達到局部腫瘤控制、保存骨頭穩定、減緩疼痛及增加存活率的治療方式。骨頭轉移離腎細胞癌診斷出來的時間越久以及沒有骨頭以外的轉移對預後越好。我們報告一個77歲的男性，他因為腎細胞癌於十二年前切除右側腎臟，這次因為轉移造成右側肱骨病理性骨折。他接受了手術治療，手術後經過六個月的追蹤，恢復良好，也沒有復發或轉移的現象。

關鍵字

腎臟 ； 腎細胞癌 ； 骨頭轉移

並列摘要

The skeleton is the second most common site of distant metastasis from renal cell carcinoma. Although radiotherapy and chemotherapy are ineffective in most patients with RCC, surgery is a safe and reliable modality to achieve local tumor control, restore mechanical bone stability, relieve pain, and increase survival. A longer interval between diagnosis of renal cancer and that of osseous metastasis and the absence of extraosseous metastases are predictive of higher survival. Here, we report a case of a 77-year-old male who suffered from a right humeral pathologic fracture caused by metastatic renal cell carcinoma at 12 years post right nephrectomy. He underwent wide excision for the right humeral tumor and had an uneventful 6-month follow-up period.

並列關鍵字

Kidney ； renal cell carcinoma ； bone metastasis