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Metastatic renal cell carcinoma presenting as shoulder arthritis
Author(s) -
Ritch Paul S.,
Hansen Richard M.,
Collier B. David
Publication year - 1983
Publication title -
cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.052
H-Index - 304
eISSN - 1097-0142
pISSN - 0008-543X
DOI - 10.1002/1097-0142(19830301)51:5<968::aid-cncr2820510534>3.0.co;2-j
Subject(s) - medicine , renal cell carcinoma , clavicle , arthritis , bone scintigraphy , scintigraphy , shoulder girdle , carcinoma , lesion , radiology , surgery , pathology
Three patients with previously undiagnosed renal cell carcinoma presented with complaints of shoulder pain secondary to tumor metastases involving the clavicle or upper humerus. In two patients, bone scintigraphy and/or gallium scintigraphy demonstrated the primary renal lesion. One patient had been treated with anti‐inflammatory drugs and intra‐articular steroid injections for presumed arthritis before the cause of the symptoms was recognized. Review of the literature reveals that renal cell carcinoma frequently metastasizes to bones of the shoulder girdle, and that presenting complaints may relate to osseous metastases. Careful evaluation should be carried out before patients with shoulder pain are treated for presumed arthritis.