Summary
We report a patient with a patellar metastasis from a malignant melanoma. Only 16 other cases have been previously described in detail in the literature. A lytic lesion in the patella is most often caused by a benign tumour, but a primary or secondary malignant tumour has to be excluded.
Résumé
Nous rapportons un cas de mélanome malin traduit par une métastase rotulienne, sans évolution clinique préalable de la lésion primitive. La revue de la littérature n'a permis de retrouver que 16 cas de métastase rotulienne histologiquement prouvée et décrite en détails. Une lésion lytique de la rotule correspond dans la majorité des cas à une tumeur bénigne, mais l'éventualité d'une tumeur maligne primitive ou d'une localisation métastatique secondaire ne peut être exclue.
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References
Ashby ME (1976) Esophageal carcinoma metastatic to the patella: a case report. J Am Med Assoc 23: 2519–2520
Benedek TG (1965) Lysis of the patella due to metastatic carcinoma. Arthr Rheum 8: 560–567
Cole WH (1925) Primary tumours of the patella. J Bone Joint Surg [Am] 7: 637–654
Dahlin DC, Unni KK (1986) Bone tumours: general aspects and data on 8542 cases, 4th edn. Charles C Thomas, Spring-field
Gall EP, Didizian NA, Park Y (1974) Acute monarticular arthritis following patellar metastasis: A manifestation of carcinoma of the lung. J Am Med Assoc 229: 188–189
Handley W (1906) Cancer of the breast and its operative treatment. John Murray, London
Hellner (1935) Knochenmetastasen bei malignen Geschwülsten. Erg Chir 28: 72
Howlett SA, Caranasos GJ (1970) Metastatic renal cell carcinoma producing arteriovenous shunt. Arch Intern Med 125: 493–495
Keeley CD (1973) Bilateral patellar metastases from carcinoma of the male breast. Can J Surg 16: 328–329
Klenerman L (1965) A metastatic deposit in the patella from a carcinoma of the breast. Postgrad Med J 41: 284–286
Kransdorf MJ, Moser RP, Vinh TN, Aoki J, Callaghan JJ (1989) Primary tumours of the patella: A review of 42 cases. Skel Radiol 18: 365–371
Kwa S (1989) Metastasis in a patella: a rare site. Aus NZ J Surg 59: 351–352
Linscheid RL, Dahlin DC (1966) Unusual lesions of the patella. J Bone Joint Surg [Am] 48: 1359–1366
Pazzaglia UE, Barbieri D, Cherubino P (1989) Solitary metastasis of the patella as the first manifestation of lung cancer. Int Orthop 13: 75–76
Rothermel FJ, Miller FJ, Hottenstein DW, Dunn EJ (1977) Metastases to the patella with bone scan, tomography, magnification film correlation. Pa Med 80: 50–51
Sabaino D (1952) Metastasi precoce nella rotula tumore primitivo del polmone. Minerva Chir 7: 371–376
Stoler B, Staple TW (1969) Metastases to the patella. Radiology 93: 853–856
Sutro CJ (1963) Lymphosarcoma of the patella: radical excision without repair of the extensor apparatus of the leg. Bull Hosp Joint Dis 24: 68–74
Taylor GH (1964) Pathologic fracture of the patella caused by metastatic carcinoma. NY State J Med 64: 430–431
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Jaeger, H.J., Kruegener, G.H. & Donovan, A.G. Patellar metastasis from a malignant melanoma. International Orthopaedics 16, 282–284 (1992). https://doi.org/10.1007/BF00182712
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DOI: https://doi.org/10.1007/BF00182712