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Complete resorption of the humerus in metastatic thyroid carcinoma: a case report.
Huang, Xiajie; Chen, Yeping; Zeng, Daofu; Liang, Rongyuan; Liao, Zhidong; Wei, Guizheng; Hao, Wenjun; Lu, William; Chen, Yan.
Afiliación
  • Huang X; Department of Bone and Joint Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, China.
  • Chen Y; Department of Bone and Joint Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, China.
  • Zeng D; Department of Bone and Joint Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, China.
  • Liang R; Department of Bone and Joint Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, China.
  • Liao Z; Department of Bone and Joint Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, China.
  • Wei G; Department of Bone and Joint Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, China.
  • Hao W; Department of Bone and Joint Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, China.
  • Lu W; Department of Orthopaedics and Traumatology, The University of Hong Kong, Hong Kong, China.
  • Chen Y; Department of Bone and Joint Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, China. cy003@connect.hku.hk.
BMC Musculoskelet Disord ; 25(1): 177, 2024 Feb 27.
Article en En | MEDLINE | ID: mdl-38413955
ABSTRACT

BACKGROUND:

Thyroid carcinoma is the most common endocrinological malignancy, but its spread to bone is rare. Particularly, bone metastases leading to complete resorption of the humerus are extremely uncommon. We aimed to explore factors affecting treatment decision in humeral metastasis by presenting a case and analyze the possible treatments via conducting a literature review. CASE PRESENTATION We described a case of a 68-year-old woman experiencing chronic pain in her right upper arm for six years. Clinical, radiological, and pathological evaluations confirmed humeral metastasis from thyroid carcinoma. Surgical treatments like tumor removal or limb amputation were suggested for prolonging life and pain relief, but the patient refused them and pursued conservative managements such as herbal medicine, radioactive iodine (131I) therapy, and Levothyroxine Sodium(L-T4). The humeral destruction aggravated gradually, ultimately leading to complete resorption of her right humerus. The patient could not move her right shoulder, but her forearm motion was almost normal; thus, she could complete most of her daily living activities independently. Surgical treatments such as limb amputation were advised but she still refused them for preservation of the residual limb function and preferred conservative managements.

CONCLUSION:

A personalized multidisciplinary approach is important for patients with bone metastasis. The balance between limb amputation for life-prolonging and pain relief and limb salvage for preservation of residual function and social and psychological well-being should be considered. Our literature review revealed that some novel surgical treatments and techniques are available for bone metastases. This case adds to our current understanding of bone metastases and will contribute to future research and treatments.
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Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Neoplasias Óseas / Neoplasias de la Tiroides / Húmero Límite: Aged / Female / Humans Idioma: En Revista: BMC Musculoskelet Disord Asunto de la revista: FISIOLOGIA / ORTOPEDIA Año: 2024 Tipo del documento: Article País de afiliación: China

Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Neoplasias Óseas / Neoplasias de la Tiroides / Húmero Límite: Aged / Female / Humans Idioma: En Revista: BMC Musculoskelet Disord Asunto de la revista: FISIOLOGIA / ORTOPEDIA Año: 2024 Tipo del documento: Article País de afiliación: China