Brachialis muscle metastasis: An unusual,presenting site of metastatic adenocarcinoma of the colon |
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| Affiliation: | 1. Southport and Ormskirk NHS Trust, Southport, PR8 6PN, UK;2. University of Manchester, Manchester, M13 9PL, UK;1. Southport and Ormskirk NHS Trust, Southport, PR8 6PN, UK;2. University of Manchester, Manchester, M13 9PL, UK;1. Department of Orthopaedics, Post Graduate Institute of Medical Education and Research, Chandigarh, 160012, India;2. Dept. of Histopathology, Post Graduate Institute of Medical Education and Research, Chandigarh, India;1. Department of Orthopaedics, Dr PSIMS&RF, Vijayawada, Andhra Pradesh, India;2. C6, ASRAM Medical College, Visakhapatnam Road Eluru, 534005, Andhra Pradesh, India;3. “Sri Dhaatri”, 23, Lane 2, SKDGOC, Vijayawada, Andhra Pradesh, 520008, India;4. Indraprastha Apollo Hospitals, New Delhi, India;1. King''s College Hospital, Denmark Hill, SE5 9RS, London, United Kingdom;2. Princess Royal University Hospital, Farnborough, Orpington, Kent, United Kingdom;1. Ann & Robert H Lurie Children''s Hospital of Chicago, Division of Orthopaedic Surgery and Sports Medicine, 225 East Chicago Avenue, Box 69 Chicago, Illinois, 60611, USA |
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| Abstract: | Skeletal muscle metastasis from gastrointestinal system tumours is extremely rare. We report an unusual presentation of skeletal muscle metastasis in the brachialis muscle as a presenting feature of a previously undiagnosed colonic adenocarcinoma in a 66-year-old male. He presented to us with a painful, flexion deformity of his elbow and suspected to have a biceps brachii rupture. We review the clinico-radiological findings and the relevant literature. This case-report highlights the importance of a thorough clinical evaluation especially in presence of red flag signs, early multi-disciplinary team (MDT) discussion and biopsy to formulate a plan of management. |
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| Keywords: | Muscle metastasis Colorectal carcinoma Magnetic resonance imaging |
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