Korean Journal of Radiology

The Korean Society of Radiology (대한영상의학회)
권호 표지
DOI QR코드

DOI QR Code

Solitary Osseous Metastasis of Rectal Carcinoma Masquerading as Osteogenic Sarcoma on Post-Chemotherapy Imaging: A Case Report

  • Received : 2013.09.01
  • Accepted : 2014.10.28
  • Published : 2015.02.01
⟨ Previous Next ⟩

Abstract

Solitary metastases from colorectal carcinoma in the absence of hepatic or pulmonary metastases are rare. These can have a diverse imaging appearance, particularly after chemotherapy. It is important identify patients with solitary skeletal metastases, as they have a better prognosis than those with multiple skeletal or visceral metastases. We describe an unusual case of a solitary metastasis to the femur in a case of colon carcinoma that went undiagnosed and later presented with imaging features of osteogenic sarcoma.

Keywords

References

  1. Chan KK, Dassanayake B, Deen R, Wickramarachchi RE, Kumarage SK, Samita S, et al. Young patients with colorectal cancer have poor survival in the first twenty months after operation and predictable survival in the medium and long-term: analysis of survival and prognostic markers. World J Surg Oncol 2010;8:82 https://doi.org/10.1186/1477-7819-8-82
  2. Chalkidou AS, Boutis AL, Padelis P. Management of a Solitary Bone Metastasis to the Tibia from Colorectal Cancer. Case Rep Gastroenterol 2009;3:354-359 https://doi.org/10.1159/000239626
  3. Jemal A, Bray F, Center MM, Ferlay J, Ward E, Forman D. Global cancer statistics. CA Cancer J Clin 2011;61:69-90 https://doi.org/10.3322/caac.20107
  4. Santini D, Tampellini M, Vincenzi B, Ibrahim T, Ortega C, Virzi V, et al. Natural history of bone metastasis in colorectal cancer: final results of a large Italian bone metastases study. Ann Oncol 2012;23:2072-2077 https://doi.org/10.1093/annonc/mdr572
  5. Batson OV. The function of the vertebral veins and their role in the spread of metastases. Ann Surg 1940;112:138-149 https://doi.org/10.1097/00000658-194007000-00016
  6. Nozue M, Oshiro Y, Kurata M, Seino K, Koike N, Kawamoto T, et al. Treatment and prognosis in colorectal cancer patients with bone metastasis. Oncol Rep 2002;9:109-112
  7. Roth ES, Fetzer DT, Barron BJ, Joseph UA, Gayed IW, Wan DQ. Does colon cancer ever metastasize to bone first? a temporal analysis of colorectal cancer progression. BMC Cancer 2009;9:274 https://doi.org/10.1186/1471-2407-9-274
  8. Kanthan R, Loewy J, Kanthan SC. Skeletal metastases in colorectal carcinomas: a Saskatchewan profile. Dis Colon Rectum 1999;42:1592-1597 https://doi.org/10.1007/BF02236213
  9. Besbeas S, Stearns MW Jr. Osseous metastases from carcinomas of the colon and rectum. Dis Colon Rectum 1978;21:266-268 https://doi.org/10.1007/BF02586701
  10. Oh YK, Park HC, Kim YS. Atypical bone metastasis and radiation changes in a colon cancer: a case report and a review of the literature. Jpn J Clin Oncol 2001;31:168-171 https://doi.org/10.1093/jjco/hye037

Cited by

  1. Colon adenocarcinoma first presenting as shoulder pain. Case report vol.73, pp.None, 2020, https://doi.org/10.1016/j.ijscr.2020.07.023