Synovial metastasis from lung cancer
Harold R Levine1, Eric Tingle, Brett Carter
1Department of Radiology, Baylor University Medical Center at Dallas.
Summary
Metastatic lung cancer can present as an intraarticular mass in the knee joint. This rare presentation highlights the importance of considering neoplasia in the differential diagnosis of synovial masses.
Area of Science:
- Orthopedic oncology
- Rheumatology
- Pathology
Background:
- Intraarticular masses are uncommon in clinical practice.
- The differential diagnosis for synovial masses is broad, often including neoplastic and proliferative processes.
Purpose of the Study:
- To present a case of metastatic lung carcinoma involving the synovium.
- To emphasize lung cancer as a common cause of synovial metastasis.
Main Methods:
- Case report presentation.
- Review of clinical presentation and diagnostic considerations for intraarticular masses.
Main Results:
- A patient with a history of lung cancer developed a metastatic intraarticular mass.
- Lung carcinoma is the most frequent primary malignancy to metastasize to synovial tissue.
- The knee joint is the most commonly affected joint in such cases.
Conclusions:
- Metastatic disease, particularly from lung cancer, should be considered in the differential diagnosis of intraarticular masses.
- Synovial metastasis from lung carcinoma most commonly affects the knee joint.
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