Acute arthritis of carpal bones secondary to metastatic gastric cancer.
A 39-year-old woman presented with acute onset of arthralgia in both wrists. Although her primary gastric cancer was in remission after previous treatment, carcinomatous arthritis was suggested by the osteolytic radiographic findings and refractoriness to nonsteroidal anti-inflammatory drugs, which was then confirmed by synovial fluid cytopathology. In view of the high incidence of gastric cancer in Korea, gastric cancer involving the carpal bones should be considered when we encounter a patient presenting with inflammatory peripheral joint arthritis, which might be the first sign of recurrence.
Park
Kyong-Hwa
KH
Division of Hematology-Oncology, Korea University Guro Hospital, 97 Guro-dong, Guro-gu, 152-703, Seoul, Korea.
Rho
Young-Hee
YH
Choi
Seong-Jae
SJ
Hong
Suk-Joo
SJ
Lee
Ju-Han
JH
Choi
In-Keun
IK
Kim
Seok-Jin
SJ
Seo
Jae-Hong
JH
Choi
Chul-Won
CW
Kim
Byung-Soo
BS
Shin
Sang-Won
SW
Kim
Yeul-Hong
YH
Song
Gwan-Gyu
GG
Kim
Jun-Suk
JS
D000328:Adult; D001168:Arthritis / Q000209:etiology*; D001859:Bone Neoplasms / Q000556:secondary; D002348:Carpal Bones; D050824:Carpal Joints; D005260:Female; D006801:Humans; D010257:Paraneoplastic Syndromes; D013274:Stomach Neoplasms / Q000150:complications*