Solitary radial head metastasis with wrist drop: a rare presentation of metastatic prostate cancer.
The fact that a prostate carcinoma metastasizes to the skeleton is well known. The metastatic deposits are generally multiple and osteoblastic. Moreover, these involve the axial skeleton or the proximal part of long bones. A pure osteolytic metastasis from a prostate carcinoma is extremely rare. This is believed to be the 1st case report of a osteolytic solitary radial head metastasis from a prostate carcinoma in a 60-year-old male. The rare clinical presentation of wrist drop, the absence of metastases at any other site, and a significant decrease in the size of lesion on follow-up in response to hormonal therapy are of interest in this case. The rare clinical presentation of a common malignancy (prostate carcinoma) is reported with a brief review of the literature.
Ansari
M S
MS
Department of Urology, All India Institute for Medical Sciences, New Dehli.
Nabi
G
G
Aron
M
M
D000230:Adenocarcinoma / Q000556:secondary* / Q000628:therapy; D001707:Biopsy, Needle; D001859:Bone Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary* / Q000628:therapy; D003131:Combined Modality Therapy; D003907:Dexamethasone / Q000627:therapeutic use; D005500:Follow-Up Studies; D006801:Humans; D007150:Immunohistochemistry; D008297:Male; D008875:Middle Aged; D009408:Nerve Compression Syndromes / Q000175:diagnosis* / Q000209:etiology; D017430:Prostate-Specific Antigen / Q000032:analysis; D011468:Prostatectomy / Q000379:methods; D011471:Prostatic Neoplasms / Q000473:pathology* / Q000628:therapy; D011826:Radial Nerve; D011859:Radiography; D011884:Radius / Q000000981:diagnostic imaging / Q000473:pathology*; D013165:Splints; D016896:Treatment Outcome
D003907:Dexamethasone; D017430:Prostate-Specific Antigen