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CASE REPORT article

Front. Surg.
Sec. Orthopedic Surgery
Volume 11 - 2024 | doi: 10.3389/fsurg.2024.1298556

Metastatic Involvement of the Acromioclavicular Joint in a Patient with Papillary Carcinoma of the Ureter

Provisionally accepted
Cihangir Türemiş Cihangir Türemiş 1*Mustafa Çeltik Mustafa Çeltik 2Mehmet Erduran Mehmet Erduran 3
  • 1 Cesme Alper Cizgenakat State Hospital, Izmir, Türkiye
  • 2 Kağızman State Hospital, Kars, Türkiye
  • 3 department of Orthopedics, Dokuz Eylul University, Izmir, Türkiye

The final, formatted version of the article will be published soon.

    Ureteral papillary carcinoma is a rare subtype of urothelial carcinoma, ranking fourth among cancers, following prostate (or breast) cancer, lung cancer, and colorectal cancer. Although previous studies have documented bone metastases mainly in the pelvis, spine, ribs, and femur, this case report presents the first recorded instance of metastasis occurring in the acromioclavicular (AC) joint. A 62-year-old woman with a history of left flank pain and macroscopic hematuria underwent a left nephroureterectomy, which revealed ureteral papillary carcinoma. Three years later, she reported left shoulder pain, leading to the discovery of a metastatic lesion in the distal clavicle. Approximately 9 cm of metastatic bone was resected while preserving nearby nerve and vascular structures. The resulting bone defect was grafted with a 9 cm bone graft removed from the middle third of the fibula. This case underscores the importance of considering distant metastases, even in atypical locations, for patients with ureteral papillary carcinoma and aims to share the entire treatment journey and insights gained from this case.

    Keywords: ureteral papillary carcinoma., Acromioclavicular (AC) joint, metastases, Clavicula, reconstrction method

    Received: 21 Sep 2023; Accepted: 11 Dec 2024.

    Copyright: © 2024 Türemiş, Çeltik and Erduran. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Cihangir Türemiş, Cesme Alper Cizgenakat State Hospital, Izmir, Türkiye

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