FORE Research Accepted in the Journal of Orthopaedic Experience and Innovation
A case report co-authored by Jessica Chastain, DO, of the Foundation for Orthopaedic Research and Education (FORE) has been accepted for publication in the Journal of Orthopaedic Experience and Innovation. Dr. Chastain wrote the report with Joseph Cutrone, MD, of the University of South Florida Orthopaedic Residency Program, and Caroline Chebli, MD, of the USF Orthopaedic Residency Program and the James A. Haley Veterans’ Hospital in Tampa.
The report, “Soft-Tissue Metastasis of High-Grade Urothelial Carcinoma With Secondary Invasion of the Humerus: A Case Report,” describes a rare way that advanced bladder cancer can spread. When bladder cancer reaches bone, it usually travels through the bloodstream to the bone marrow. In this case, the cancer formed a mass in the soft tissue of the upper arm first and then invaded the humerus from the outside.
Because this pattern is rarely reported, it can be mistaken for a primary soft-tissue sarcoma or for a typical bone metastasis. The authors explain the clinical and imaging features that distinguish it. Making that distinction affects surgical planning, margin assessment, and prognosis. The case also shows why a multidisciplinary approach and realistic, patient-centered goal setting matter when caring for patients with advanced disease.
Congratulations to Dr. Chastain, Dr. Cutrone, and Dr. Chebli on this contribution to the orthopaedic oncology literature.