Pathologic fracture of the distal tibia secondary to melanoma: A case report of a very rare entity

Abstract Malignant melanoma is not a common cause of cancer metastasis to the skeleton, however, when melanoma does metastasize, one of the most common sites is the skeleton. In the literature, there are very few reports of bone metastasis and bone fracture from malignant melanoma, but they do clear...

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Bibliographic Details
Published in:Foot and ankle surgery 2012-03, Vol.18 (1), p.e18-e20
Main Authors: Herrera-Perez, M., MD, Ayala-Rodrigo, A., MD, Sanchez-Hernandez, P., MD, Rodriguez-Rodriguez, L.M., MD
Format: Article
Language:English
Subjects:
Adult
Biopsy, Needle
Bone metastasis
Bone Neoplasms - complications
Bone Neoplasms - diagnosis
Bone Neoplasms - secondary
Diagnosis, Differential
Fatal Outcome
Fracture Fixation, Internal - methods
Fractures, Spontaneous - diagnosis
Fractures, Spontaneous - etiology
Fractures, Spontaneous - surgery
Humans
Male
Melanoma
Melanoma - complications
Melanoma - diagnosis
Melanoma - secondary
Orthopedics
Pathologic fracture
Skin Neoplasms - complications
Skin Neoplasms - diagnostic imaging
Skin Neoplasms - pathology
Tibia
Tibial Fractures - diagnosis
Tibial Fractures - etiology
Tibial Fractures - surgery
Tomography, X-Ray Computed
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Summary:Abstract Malignant melanoma is not a common cause of cancer metastasis to the skeleton, however, when melanoma does metastasize, one of the most common sites is the skeleton. In the literature, there are very few reports of bone metastasis and bone fracture from malignant melanoma, but they do clearly occur. When skeletal metastasis from malignant melanoma occurs, it is a sign of a very serious stage of the disease. We here present a case of a 39-year-old man with a history of ankle pain since an ankle sprain two months before, who was remitted to our unit with the diagnosis of pathological fracture of the distal tibia secondary to disseminated melanoma.
ISSN:1268-7731
1460-9584
DOI:10.1016/j.fas.2011.10.008