Abstract
A 39-year-old woman presented with acute onset of arthralgia in both wrists. Although her primary gastric cancer was in remission after previous treatment, carcinomatous arthritis was suggested by the osteolytic radiographic findings and refractoriness to nonsteroidal anti-inflammatory drugs, which was then confirmed by synovial fluid cytopathology. In view of the high incidence of gastric cancer in Korea, gastric cancer involving the carpal bones should be considered when we encounter a patient presenting with inflammatory peripheral joint arthritis, which might be the first sign of recurrence.
Similar content being viewed by others
References
Adegboyega PA, Adesokan A, Viegas SF (1999) Acrometas-tasis in renal cell carcinoma. South Med J 92:1009–1012
Carsons S (1997) The association of malignancy with rheumatic and connective tissue diseases. Semin Oncol 24:360–372
Naschitz JE, Rosner I, Rozenbaum M, Zuckerman E, Yeshu-run D (1999) Rheumatic syndromes: clues to occult neoplasia. Semin Arthritis Rheum 29:43–55
Fornasier VL, Home JG (1975) Metastases to the vertebral column. Cancer 36:590–594
Kerin R (1987) The hand in metastatic disease. J Hand Surg [Am] 12:77–83
Amadio PC, Lombardi RM (1987) Metastatic tumors of the hand. J Hand Surg [Am] 12:311–316
Zissiadis Y (2000) Acute arthritis as an unusual complication of malignancy. Australas Radiol 44:474–477
Healey JH, Turnbull AD, Miedema B, Lane JM (1986) Acrometastases. A study of twenty-nine patients with osseous involvement of the hands and feet. J Bone Joint Surg Am 68:743–746
Craigen MA, Chesney RB (1988) Metastatic adenocarcinoma of the carpus: a case report. J Hand Surg [Br] 13:306–307
Metyas SK, Lum CA, Raza AS, Vaysburd M, Forrester DM, Quismorio FP Jr (2003) Inflammatory arthritis secondary to metastatic gastric cancer. J Rheumatol 30:2713–2715
Thompson KS, Reyes CV, Jensen J, Gattuso P, Sacks R (1996) Synovial metastasis: diagnosis by fine-needle aspiration cytologic investigation. Diag Cytopathol 15:334–337
Carstens SA, Resnick D (1980) Diffuse sclerotic skeletal metastases as an initial feature of gastric carcinoma. Arch Intern Med 140:1666–1668
Kammori M, Seto Y, Haniuda N, Kawahara M, Takubo K, Endo H et al (2001) A case of bone metastasis from gastric carcinoma after a nine-year disease-free interval. Jpn J Clin Oncol 31:407–409
Fam AG, Kolin A, Lewis AJ (1980) Metastatic carcinomatous arthritis and carcinoma of the lung. A report of two cases diagnosed by synovial fluid cytology. J Rheumatol 7:98–104
Author information
Authors and Affiliations
Corresponding author
Additional information
Published online: 2 February 2006
Rights and permissions
About this article
Cite this article
Park, KH., Rho, YH., Choi, SJ. et al. Acute arthritis of carpal bones secondary to metastatic gastric cancer. Clin Rheumatol 25, 258–261 (2006). https://doi.org/10.1007/s10067-005-1096-7
Received:
Revised:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/s10067-005-1096-7