Department of Orthopaedics, Cancer Hospital, Chinese Academy of Medical Sciences
CancerousarthritisAndRheumatoid arthritisSimilarly, it often occurs one year before the signs of cancer. The sick joint suddenly suffers from joint pain with serious symptoms and a sense of toughness in the morning.In the acute phase, joints may have fever, redness, swelling and pain.Arthritis is not caused by direct metastasis of cancer cells to bone or joints.This disease can occur in any type of cancer patients, especially bronchilung cancer、prostatic cancerandmammary cancer。The incidence rate is 2:1 for men and women.
Foreign name
carcinomatous arthritis
Visiting department
orthopaedics
Multiple population
Male aged 50-65
Common location
Knee, ankle, palm, finger, toe and other joints
common symptom
Sudden joint pain, serious symptoms, and a sense of toughness in the morning.Acute stage, joint fever, redness, swelling, pain, dysfunction, etc
CancerousarthritisThe cause is unknown.This disease can occur in any type of cancer patients, especially bronchilung cancer、prostatic cancerandmammary cancer。CancerousarthritisIt is not caused by the direct metastasis of cancer cells to bone or joints.
clinical manifestation
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CancerousarthritisThe typical attack of, appeared one year before the cancer signs, rarely appeared at the same time or after the cancer signs.It is mainly found in the knee, ankle, palm, finger and toe joints, followed by the shoulder, elbow, wrist, hip and foot joints, showing a single joint, asymmetric attack.The sick joint has sudden joint pain with serious symptoms, and has a strong feeling in the morning.In the acute phase, joints may have fever, redness, swelling and pain.In evilSTDAfter control, it can be fully or partially relieved.In slowSTDIn the process, it can be acute until serious dysfunction occurs.
inspect
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1. Laboratory inspection
ESR increased rapidly, synovial fluid was inflammatory, and there was no crystal.
2. X-ray examination
The joint bone is normal, the soft tissue is swollen, and the shadow is thickened.Narrow joint cavity,osteoporosis, often misdiagnosed as "bone and joint tuberculosis".Cancer invades bone, which may lead to bone destruction and new bone formation.
diagnosis
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According to the typical medical history, clinical manifestations, auxiliary examinations, and excluding other diseases, the diagnosis can be made.
But in evilSTDAfter control, it is completely or partially relieved. During the chronic development of the disease, it can be acute until serious dysfunction occurs.
prevention
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Bone metastasis of tumor is common in clinic, and any tumor can have bone metastasis.If there is no obvious cause of proximal pain in the trunk and limbs, the disease should be highly suspected. If the diagnosis is not clear, it should be reviewed regularly to actively treat the primary disease.The primary tumor has different predilection sites and different types of metastasis. Find and treat the metastasis as early as possible.Active treatment of primary tumors cannot be abandoned.
