Chronic monoarthritis and previous history of cancer: think about synovial metastasis.
Synovial metastases are rare events. Only 37 cases diagnosed by synovial fluid cytologic examination and/or by microscopic investigation of synovial biopsies have been previously reported in the literature. We report another case of shoulder chronic arthritis due to a recurrence of rectal adenocarcinoma and review previous published observations. Generally, this condition carries a poor prognosis with average patients survival of less than 5 months. The possibility of metastatic disease should be considered when an elderly person or patient with a history of previous malignancy presents with a chronic arthritis.
Laboratoire Pol Bouin, Hôpital Maison Blanche, Reims Cedex, 51092, France. mat_cap@caramail.com
Mathieu
M
Capovilla
Anne
A
Durlach
Elyès
E
Fourati
Anne-Bérangère
AB
Beucher
Jean-Paul
JP
Eschard
Emile
E
Dehoux
José
J
Le Noach
Joël
J
Cucherousset
D000230:Adenocarcinoma / Q000556:secondary*; D000368:Aged; D001168:Arthritis / Q000209:etiology*; D001859:Bone Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary*; D002908:Chronic Disease; D005260:Female; D006801:Humans; D011859:Radiography; D012004:Rectal Neoplasms / Q000473:pathology*; D013583:Synovial Membrane / Q000000981:diagnostic imaging / Q000473:pathology*