Adenocarcinoma of Unknown Primary Site (Acups) Presenting as a Psoas Abscess

1989 ◽  
Vol 34 (3) ◽  
pp. 470-470 ◽  
Author(s):  
I.C. Stewart ◽  
K.J. Blaikie ◽  
H.M. MacLeod

The presentation of a psoas abscess is commonly seen in conjunction with infection, especially tuberculous. Involvement of the psoas muscles with tumour, however, is extremely rare. We present a case in which adenocarcinoma of unknown primary site infiltrated the psoas muscle, thus mimicking a psoas abscess. A review of this unusual tumour type is discussed.

2021 ◽  
Author(s):  
Xinrong Li ◽  
Yan Shao ◽  
Liqiang Sheng ◽  
Junquan Zhu ◽  
Zeming Wang ◽  
...  

Dermatology ◽  
2008 ◽  
Vol 217 (4) ◽  
pp. 351-355 ◽  
Author(s):  
Patrick A. Oberholzer ◽  
Mirjana Urosevic ◽  
Hans C. Steinert ◽  
Reinhard Dummer

JAMA Oncology ◽  
2015 ◽  
Vol 1 (1) ◽  
pp. 40 ◽  
Author(s):  
Jeffrey S. Ross ◽  
Kai Wang ◽  
Laurie Gay ◽  
Geoff A. Otto ◽  
Emily White ◽  
...  

2018 ◽  
Vol 132 (12) ◽  
pp. 1138-1142 ◽  
Author(s):  
C R Davies-Husband

AbstractBackgroundCervical metastasis from an unknown primary site invariably results in pan-mucosal irradiation if a primary tumour is not identified. Transoral robotic and laser-assisted mucosectomy are valid techniques to increase diagnostic rates, but these remain restricted to certain centres. This paper describes, in detail, a technique in which mucosectomy is performed via endoscopic electrocautery.MethodsPatients were prospectively recruited between May 2017 and June 2018. Inclusion criteria stipulated biopsy-proven metastatic cervical squamous cell carcinoma, with negative findings on magnetic resonance imaging and positron emission tomography/computed tomography, in addition to examination under anaesthetic, tonsillectomy and ‘blind’ tongue base biopsies without tumour identification, prior to mucosectomy.ResultsOf nine patients, a mucosal primary was identified in four (44.4 per cent), for which ipsilateral intensity-modulated radiotherapy was advocated in three and completion tongue base resection in the fourth. Dysplasia was demonstrated in two further patients, which provided information relevant to radiotherapy fields and post-treatment surveillance. No surgical complications were identified.ConclusionTongue base mucosectomy using electrocautery and conventional tonsillectomy equipment is a safe, effective technique in the identification of cervical metastasis from an unknown primary site. It expands the potential breadth of use, quickens prolonged diagnostic pathways and obviates the necessity for pan-mucosal irradiation.


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