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Bone metastasis from colon carcinoma in an 11-year-old boy: radiological features and brief review of the literature

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Abstract

We report the case of an 11-year-old boy who came to our observation with localized pain in the left arm for nearly 5 months. No previous history of trauma was referred in an otherwise healthy patient. Radiographs, isotope bone-scan, computed tomography, and magnetic resonance imaging of the lesion involving the left humerus are discussed. Histological diagnosis from biopsy of the humerus was metastasis from mucinous adenocarcinoma. The primary tumor site was identified in the sigmoid-descending colon, and at presentation, in addition to the left humerus, the disease had already developed in multiple skeletal sites. This report also considers literature concerning such a rare disease in children. This is, to our knowledge, the first report of childhood colorectal cancer diagnosed because of a bone metastasis.

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Acknowledgments

The authors thank Gambarotti Marco, MD, Surgical Pathology of the Rizzoli Orthopaedic Institute for his help in description of histological features of the case. The authors also thank Balladelli Alba, BA (Laboratory of Experimental Oncology, Rizzoli Orthopaedic Institute, Bologna, Italy) for her precious help in the editing process. The authors thank Paolucci Paolo, PhD (Pediatrics Unit, Department of Mother & Child, University Hospital of Modena, Italy) for accurate information about chemotherapy treatment and clinical course of the patient.

Conflict of interest statement

There are no financial disclosures or conflicts of interest from any of the authors to report.

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Authors and Affiliations

  1. Department of Muscolo-Skeletal Oncology, Rizzoli Orthopaedic Institute, Via Pupilli 1, 40136, Bologna, Italy

    Marco Colangeli, Carlotta Calamelli, Marco Manfrini, Tommaso Frisoni & Davide Maria Donati

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  1. Marco Colangeli
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  2. Carlotta Calamelli
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  3. Marco Manfrini
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  4. Tommaso Frisoni
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  5. Davide Maria Donati
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Correspondence to Marco Colangeli.

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Colangeli, M., Calamelli, C., Manfrini, M. et al. Bone metastasis from colon carcinoma in an 11-year-old boy: radiological features and brief review of the literature. Skeletal Radiol 44, 743–748 (2015). https://doi.org/10.1007/s00256-014-2039-7

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  • DOI: https://doi.org/10.1007/s00256-014-2039-7

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