PULSATING METASTASIS OF THE FEMUR FROM A SILENT HYPERNEPHROMA
Authors: G ZUCKER, J LEVINE
Journal: Annals of Internal Medicine (1958)

Case Reports1 April 1958PULSATING METASTASIS OF THE FEMUR FROM A SILENT HYPERNEPHROMAGARY ZUCKER, M.D., F.A.C.P., JULES LEVINE, M.D.GARY ZUCKER, M.D., F.A.C.P.Search for more papers by this author, JULES LEVINE, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-48-4-897 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptA solitary pulsating tumor of bone is a rare occurrence. It is important clinically in that it usually represents a metastasis from a carcinoma of the kidney or thyroid.1 The primary tumor itself may be entirely asymptomatic.According to Willis,1the first case of pulsating metastases was described by Morris2in 1880. The patient was observed for six years, during which time she developed pulsating tumors in the parietal bone, the clavicle and both hips. At autopsy, the metastatic lesions had the colloid vesicular structure of thyroid carcinoma. Since then additional cases have been reported sporadically in the medical literature.3-14...Bibliography1. Willis R: The spread of tumors in the human body, 1952, Butterworth and Co., Ltd., London. Google Scholar2. Morris H: Pulsating tumours of the left parietal bone, associated with other similar tumours of the right clavicle and both femora and with great hypertrophy of the heart, Tr. Path. Soc. London 31: 259, 1880. Google Scholar3. Halbron P: Cancer thyroidien developpé au niveau du sternum et simulant un aneurysme de l'aorte, Bull. et mém. Soc. anat. de Paris 79: 373, 1904. Google Scholar4. Eshner AA: Hypernephroma of the kidney with metastasis to the manubrium sterni simulating aneurysm of the aorta, J. A. M. A. 50: 1787, 1908. CrossrefGoogle Scholar5. MacLeodJacobs JAWF: Hypernephroma of sternum, M. Rec. 100: 979, 1921. Google Scholar6. RothDavidson LJHB: Metastatic pulsating tumors of the sternum secondary to renal hypernephroma, J. Urol. 37: 480, 1937. CrossrefGoogle Scholar7. Bullowa JG: A case of hypernephroma with spinal metastases, M. Clin. North America 5: 1113, 1922. Google Scholar8. Rhea LJ: A case of metastatic thyroid tumor, Arch. Path. 2: 293, 1926. Google Scholar9. Nalle BC: Distant metastases of 58 renal neoplasms; case report of secondary metastatic pulsations from renal tumor, J. Urol. 57: 662, 1947. CrossrefMedlineGoogle Scholar10. Pool EH: Bone metastasis in a case of hypernephroma, Ann. Surg. 52: 553, 1910. CrossrefMedlineGoogle Scholar11. Scudder CL: The bone metastases of hypernephroma, Ann. Surg. 52: 533, 1910. CrossrefMedlineGoogle Scholar12. Latzko W: Pulsating metastasis from hypernephroma, Wien. klin. Wchnschr. 29: 55, 1916. Google Scholar13. FabreDambrin PP: Tumeur pseudo-aneurysmale de la main, Ann. d'anat. path. 12: 380, 1935. Google Scholar14. Crile G: Pulsating tumors of the sternum, Ann. Surg. 103: 199, 1936. CrossrefMedlineGoogle Scholar15. MiderMorton GBJJ: Pulsating, benign giant cell tumors of bone, Ann. Surg. 109: 126, 1939. CrossrefMedlineGoogle Scholar16. BucyCapp PCCS: Primary hemangioma of bone, Am. J. Roentgenol. 23: 1, 1930. Google Scholar17. Lichtenstein L: Bone tumors, 1952, The C. V. Mosby Co., St. Louis, p. 123. Google Scholar18. Lemon HM: The treatment of metastatic carcinoma, M. Clin. North America 38: 1281, 1954. CrossrefGoogle Scholar19. Mann LT: Spontaneous disappearance of pulmonary metastases after nephrectomy for hypernephroma, J. Urol. 59: 564, 1948. CrossrefMedlineGoogle Scholar20. Albrecht P: A study of the clinical and pathological anatomy of hypernephroma, Arch. f. klin. Chir. 76: 1073, 1905. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: New York, N. Y.*Received for publication September 10, 1956.From the Medical Service, Beth Israel Hospital, New York, N. Y.Requests for reprints should be addressed to Gary Zucker, M.D., 993 Park Avenue, New York 28, N. Y. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byClinical Evaluation of the Peripheral VasculaturePulsatile Sternal Tumor: Report of Three Cases and a Review of the LiteraturePulsating Sternal Tumor with a Continuous Murmur 1 April 1958Volume 48, Issue 4Page: 897-902KeywordsAutopsyBoneFemoral arteriesFemurHipKidneysLesionsMedical servicesThyroidThyroid carcinoma ePublished: 1 December 2008 Issue Published: 1 April 1958 PDF downloadLoading ...