Synovial Metastasis From Urothelial Carcinoma of the Renal Pelvis Causing Recurrent Hemarthrosis: A Rare Presentation.

Autor: Wang RTS; Advanced Internal Medicine, Singapore General Hospital, Singapore, SGP., Zhuang Q; Supportive and Palliative Care, National Cancer Centre Singapore, Singapore, SGP., Chen XF; Anatomical Pathology, Singapore General Hospital, Singapore, SGP.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2023 Mar 31; Vol. 15 (3), pp. e36983. Date of Electronic Publication: 2023 Mar 31 (Print Publication: 2023).
DOI: 10.7759/cureus.36983
Abstrakt: Synovial metastases are rare for any malignancy. This case report discusses a case of synovial metastasis from urothelial carcinoma of the renal pelvis presenting with recurrent hemarthrosis. The diagnosis of malignant synovitis can be obtained by synovial fluid aspiration, which is a quick and minimally invasive method, especially when imaging is unyielding or unspecific. Unfortunately, the diagnosis is associated with a poor prognosis of about five months, and treatment is often palliative. While no clinical guidelines exist, a multimodal and multidisciplinary management approach can help address the physical and psychosocial losses suffered.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2023, Wang et al.)
Databáze: MEDLINE