Calcaneal acrometastasis from urothelial carcinoma of the ureter: a case report and literature review

Jonathan H Ryder,1 Sean V McGarry,2 Jue Wang1  1Division of Oncology/Hematology, Department of Internal Medicine, University of Nebraska Medical Center, Omaha, Nebraska, USA; 2Department of Orthopaedic Surgery and Rehabilitation, University of Nebraska Medical Center, Omaha, Nebraska, USA...

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Autores principales:	Ryder JH, McGarry SV, Wang J
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2013
Materias:	Urothelial Carcinoma Acrometastasis Ureteral Cancer Elderly Multimodality therapy. Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/c2e61a17030b445e82e3142574122b22
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spelling	oai:doaj.org-article:c2e61a17030b445e82e3142574122b222021-12-02T01:10:45ZCalcaneal acrometastasis from urothelial carcinoma of the ureter: a case report and literature review1178-1998https://doaj.org/article/c2e61a17030b445e82e3142574122b222013-04-01T00:00:00Zhttps://www.dovepress.com/calcaneal-acrometastasis-from-urothelial-carcinoma-of-the-ureter-a-cas-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Jonathan H Ryder,1 Sean V McGarry,2 Jue Wang1  1Division of Oncology/Hematology, Department of Internal Medicine, University of Nebraska Medical Center, Omaha, Nebraska, USA; 2Department of Orthopaedic Surgery and Rehabilitation, University of Nebraska Medical Center, Omaha, Nebraska, USA Purpose: Ureteral cancer is a rare entity. Typical symptoms are painless hematuria as well as flank pain. Bone metastasis of ureteral cancer can occur in nearby bone structures, such as the spine, pelvis, and hip bone. Distal bone metastasis, such as that in the calcaneus bone, however, is rare. Case report: An 82-year-old woman presented to the orthopedic clinic at the university hospital with a 3-month history of left heel pain. A magnetic resonance imaging (MRI) of her foot demonstrated a calcaneal lytic lesion. A biopsy of the lytic lesion showed urothelial carcinoma with squamous differentiation. A computed tomography (CT) scan of the abdomen and pelvis showed left hydronephrosis and an obstructive mass in the left ureter, at the iliac crossing. The patient received combined therapy that included local radiation, bisphosphonate, and chemotherapy, with complete resolution of her cancer-related symptoms. However, she eventually died from the progressive disease, 20 months after the initial diagnosis. Conclusion: This case highlights the rare presentation of ureter cancer with an initial presentation of foot pain, secondary to calcaneal metastasis. Multimodality therapy provides effective palliation of symptoms and improved quality of life. We also reviewed the literature and discuss the clinical benefits of multidisciplinary cancer care in elderly patients. Keywords: urothelial carcinoma, elderly, calcaneal acrometastasis, multimodality therapy, chemotherapy, radiationRyder JHMcGarry SVWang JDove Medical PressarticleUrothelial CarcinomaAcrometastasisUreteral CancerElderlyMultimodality therapy.GeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 8, Pp 395-399 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Urothelial Carcinoma Acrometastasis Ureteral Cancer Elderly Multimodality therapy. Geriatrics RC952-954.6
spellingShingle	Urothelial Carcinoma Acrometastasis Ureteral Cancer Elderly Multimodality therapy. Geriatrics RC952-954.6 Ryder JH McGarry SV Wang J Calcaneal acrometastasis from urothelial carcinoma of the ureter: a case report and literature review
description	Jonathan H Ryder,1 Sean V McGarry,2 Jue Wang1  1Division of Oncology/Hematology, Department of Internal Medicine, University of Nebraska Medical Center, Omaha, Nebraska, USA; 2Department of Orthopaedic Surgery and Rehabilitation, University of Nebraska Medical Center, Omaha, Nebraska, USA Purpose: Ureteral cancer is a rare entity. Typical symptoms are painless hematuria as well as flank pain. Bone metastasis of ureteral cancer can occur in nearby bone structures, such as the spine, pelvis, and hip bone. Distal bone metastasis, such as that in the calcaneus bone, however, is rare. Case report: An 82-year-old woman presented to the orthopedic clinic at the university hospital with a 3-month history of left heel pain. A magnetic resonance imaging (MRI) of her foot demonstrated a calcaneal lytic lesion. A biopsy of the lytic lesion showed urothelial carcinoma with squamous differentiation. A computed tomography (CT) scan of the abdomen and pelvis showed left hydronephrosis and an obstructive mass in the left ureter, at the iliac crossing. The patient received combined therapy that included local radiation, bisphosphonate, and chemotherapy, with complete resolution of her cancer-related symptoms. However, she eventually died from the progressive disease, 20 months after the initial diagnosis. Conclusion: This case highlights the rare presentation of ureter cancer with an initial presentation of foot pain, secondary to calcaneal metastasis. Multimodality therapy provides effective palliation of symptoms and improved quality of life. We also reviewed the literature and discuss the clinical benefits of multidisciplinary cancer care in elderly patients. Keywords: urothelial carcinoma, elderly, calcaneal acrometastasis, multimodality therapy, chemotherapy, radiation
format	article
author	Ryder JH McGarry SV Wang J
author_facet	Ryder JH McGarry SV Wang J
author_sort	Ryder JH
title	Calcaneal acrometastasis from urothelial carcinoma of the ureter: a case report and literature review
title_short	Calcaneal acrometastasis from urothelial carcinoma of the ureter: a case report and literature review
title_full	Calcaneal acrometastasis from urothelial carcinoma of the ureter: a case report and literature review
title_fullStr	Calcaneal acrometastasis from urothelial carcinoma of the ureter: a case report and literature review
title_full_unstemmed	Calcaneal acrometastasis from urothelial carcinoma of the ureter: a case report and literature review
title_sort	calcaneal acrometastasis from urothelial carcinoma of the ureter: a case report and literature review
publisher	Dove Medical Press
publishDate	2013
url	https://doaj.org/article/c2e61a17030b445e82e3142574122b22
work_keys_str_mv	AT ryderjh calcanealacrometastasisfromurothelialcarcinomaoftheureteracasereportandliteraturereview AT mcgarrysv calcanealacrometastasisfromurothelialcarcinomaoftheureteracasereportandliteraturereview AT wangj calcanealacrometastasisfromurothelialcarcinomaoftheureteracasereportandliteraturereview
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Calcaneal acrometastasis from urothelial carcinoma of the ureter: a case report and literature review

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