Incisional metastatic breast carcinoma deposit in a total knee replacement presenting as peri-prosthetic joint infection—a case report.
- Resource Type
- Case Study
- Authors
- Rajeev, Aysha; Elzawahry, Ahmed; Rakhra, Simren; Singisetti, Kiran
- Source
- Journal of Surgical Case Reports. Mar2022, Vol. 2022 Issue 3, p1-3. 3p.
- Subject
- *TOTAL knee replacement
*JOINT infections
*SYMPTOMS
*GRANULATION tissue
*SKIN infections
*METASTASIS
- Language
- ISSN
- 2042-8812
Cutaneous metastasis from the primary breast carcinoma occurs when the disease is wide spread and can present as skin infection especially in a previous well-healed scar. If the secondary deposit is over a total knee incisional site it can mimic peri-prosthetic joint infection. We report a rare and unusual case of a woman who presented with clinical signs and symptoms of a peri-prosthetic total knee replacement which on biopsy turned out to be cutaneous metastasis from a previously treated breast cancer. Chronic granulation tissue in a total joint incisional scar may present as peri-prosthetic joint infection. A good history taking and clinical examination with specimens from the skin lesions send for both microbiology and histopathology is recommended to arrive at an early and accurate diagnosis. [ABSTRACT FROM AUTHOR]