Unsuspected metastases presenting as solitary soft tissue lesions: A fourteen-year review

James Glockner, L. M. White, M. Sundaram, D. J. McDonald

Research output: Contribution to journalArticle

44 Citations (Scopus)

Abstract

Objective. To describe a series of patients with no known primary malignancy who presented with a solitary unsuspected soft tissue metastasis masquerading as a soft tissue sarcoma, and secondarily to describe the imaging appearance of these lesions. Design. Records of two academic hospitals with active orthopedic oncology services were reviewed for patients meeting the above criteria. Clinical charts were examined, and the imaging appearance of the soft tissue lesions retrospectively reviewed. Patients. Of 1421 patients examined for soft tissue lesions, 11 were found who met the above criteria. Results. Of the 11 patients whose initial presentation was a solitary soft tissue metastasis, eight were found to have a primary lung cancer, two were diagnosed with adenocarcinoma of unknown primary, and adenocarcinoma of the colon was discovered in the remaining patient. Conclusions. The clinical presentation of a solitary soft tissue metastasis without a known primary malignancy is a rare occurrence, with an incidence of approximately 0.8%. Lung cancer is the primary neoplasm in a high percentage of these cases.

Original languageEnglish (US)
Pages (from-to)270-274
Number of pages5
JournalSkeletal Radiology
Volume29
Issue number5
StatePublished - May 2000
Externally publishedYes

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Neoplasm Metastasis
Lung Neoplasms
Adenocarcinoma
Neoplasms
Sarcoma
Orthopedics
Colon
Incidence

Keywords

  • Metastasis
  • MRI
  • Soft tissue neoplasm

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

Cite this

Unsuspected metastases presenting as solitary soft tissue lesions : A fourteen-year review. / Glockner, James; White, L. M.; Sundaram, M.; McDonald, D. J.

In: Skeletal Radiology, Vol. 29, No. 5, 05.2000, p. 270-274.

Research output: Contribution to journalArticle

Glockner, J, White, LM, Sundaram, M & McDonald, DJ 2000, 'Unsuspected metastases presenting as solitary soft tissue lesions: A fourteen-year review', Skeletal Radiology, vol. 29, no. 5, pp. 270-274.
Glockner, James ; White, L. M. ; Sundaram, M. ; McDonald, D. J. / Unsuspected metastases presenting as solitary soft tissue lesions : A fourteen-year review. In: Skeletal Radiology. 2000 ; Vol. 29, No. 5. pp. 270-274.
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