Cowden syndrome. Managing multiple skeletal metastases of different origin: a case report

Cowden Syndrome is a rare autosomal dominant multiple hamartomatous condition, characterised by both benign and malignant tumours affecting multiple systems. Case presentationWe present a 47-year-old female patient with thigh pain that was diagnosed with Cowden syndrome 20 years ago and developed multiple and different skeletal metastases which became resistant to radio-chemotherapy.

A percutaneous plate fixation of the distal femur with an intralesional excision and cementoplasty of the metastasis was performed initially. This was combined with a cemented total hip arthroplasty using an Exeter long revision stem and a cementoplasty of the femoral canal for the proximal lesions.

Conclusions: A meticulous approach to her complex metastatic disease resulted in successful palliative prophylactic reconstructive surgery that improved her quality of life, allowing her independent pain free walking for 12 months.

Author: Antonios Angoules, Evangelia Maria Tsapakis, Ioannis Polyzois, Zakareya Gamie, James Julian Rankine and Eleftherios Tsiridis
Credits/Source: Cases Journal 2008, 1:265

Published on: 2008-10-23

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