Monoarticular carcinomatous knee joint arthritis as an initial presentation of cervical carcinoma

When it comes to cancer, one can expect the unexpected. The clinical presentations can be very bizarre. One of these uncommon presentations is monoarticular arthritis. The age group affected by cancer and arthritis are similar. However, the possibility of joint pain being secondary to metastatic inv...

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Bibliographic Details
Published in:The journal of obstetrics and gynaecology research 2013-10, Vol.39 (10), p.1488-1491
Main Authors: Jain, Avani S., Pawaskar, Alok Suresh, Srivastava, Madhur Kumar, Elangovan, Indirani M., Shelley, Simon
Format: Article
Language:English
Subjects:
18F‐fluorodeoxyglucose positron emission tomography computed tomography
Aged
Arthritis, Infectious - diagnosis
Carcinoma - pathology
Carcinoma - secondary
cervical carcinoma
Female
Femoral Neoplasms - pathology
Femoral Neoplasms - secondary
Humans
Knee Joint - pathology
monoarticular arthritis
synovial aspirate
tuberculous arthritis
Uterine Cervical Neoplasms - pathology
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Summary:When it comes to cancer, one can expect the unexpected. The clinical presentations can be very bizarre. One of these uncommon presentations is monoarticular arthritis. The age group affected by cancer and arthritis are similar. However, the possibility of joint pain being secondary to metastatic involvement does not come to mind easily. In this report, a 65‐year‐old postmenopausal woman presented with complaint of pain and restricted movement of the right knee joint, in whom the clinical and magnetic resonance imaging features were suggestive of infective monoarthritis. However, synovial fluid aspirate showed presence of malignant cells. Hence, patient was evaluated with whole‐body 18F‐fluorodeoxyglucose positron emission tomography computed tomography which detected primary malignancy of the cervix with regional nodal and right knee joint metastasis. To our knowledge, this is the first reported case of cervical malignancy with solitary skeletal metastasis involving the knee joint. The report also discusses overall incidence of malignant arthritis.
ISSN:1341-8076
1447-0756
DOI:10.1111/jog.12086