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Humeral Metastasis of Renal Clear Cell Carcinoma, a Case Report and Review of the Literature

Open Journal of Orthopedics 2023年第7期13卷 275-281页

作者： Mohamed Idrissa Seidou Issa Soumana Yahaya Ali Moussa Niandou mahamadou dalatou malam maman Abassa Seyni Zirbine Seyni Souna Badio Traumatology and Orthopedics Department of Amirou Boubacar Diallo National Hospital Niamey Niger Faculty of Health Sciences Abdou Moumouni University of Niamey Niamey Niger

Introduction: Adult bone tumors may be primary or secondary. Their diagnosis is often based on the results of imaging tests but can also be completed by biopsy. Case Presentation: We report the observation of a clinical case of fortuitous discovery in the orthopaedic-traumatology department of the national hospital Amirou Boubacar Diallo of Niamey, pathological fracture of the right humeral shaft secondary to metastasis of clear-cell adenocarcinoma of renal origin, a 57-year-old man, a refrigeration engineer by profession, from Niger living in the Middle East. This patient has no known pathological history. He consulted us for pain in his right arm that was more severe at night. All imaging and pathology examinations carried out both in Niger and in the Middle East confirmed the diagnosis of humeral metastasis of clear-cell renal cell carcinoma. Surgical management consisted of tumor resection and Kuntscher-type centromedullary alignment nailing of the fracture site. The loss of bone substance in the fracture is filled with acrylic cement. The treatment was completed by chemotherapy. Conclusion: Bone tumours are most often secondary in location. However, the diagnosis must be sought in the presence of any clinical sign.

关键词： Humeral Metastasis Renal Adenocarcinoma Centromedullary Nailing

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