Total cleidectomy for a solitary metastasis of the clavicle.
The clavicle is a fairly common site of metastases of renal cell carcinoma. We report the cases of two patients with undiagnosed renal cell carcinoma who were first seen for shoulder pain secondary to a solitary clavicular metastasis. Wide resection was performed in both cases. Functional and cosmetic results were good, with no shoulder pain or neurovascular deficits. We suggest wide surgical resection of a solitary bony metastasis from renal cell carcinoma, associated with appropriate systemic treatment, because the survival may be increased.
Tabuenca Dumortier
J
J
Department of Orthopedic Surgery and Trauma, Fundacion Hospital Alcorcon, Alcorcon, Madrid, Spain. jtabuenca@fhalcorcon.es
Ortiz Cruz
E
E
Olivas Olivas
J
J
D001859:Bone Neoplasms / Q000556:secondary* / Q000601:surgery*; D002292:Carcinoma, Renal Cell / Q000556:secondary* / Q000601:surgery*; D002968:Clavicle / Q000473:pathology* / Q000601:surgery; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000379:methods; D010146:Pain / Q000209:etiology; D012785:Shoulder Joint / Q000473:pathology; D016896:Treatment Outcome