Extensive metastasis to the hand from undiagnosed adenocarcinoma of the lung

Abstract

Metastatic tumours of the hand are uncommon; we present a case of undiagnosed adenocarcinoma of the lung with extensive metastases to the carpal, and to the third, fourth, and fifth metacarpal, bones. Biopsy confirmed the diagnosis and the patient died three months later, no surgical treatment being offered.

Isolated Metastatic Carcinoma to the Hamate Bone: The First Manifestation of an Occult Malignancy

“…Although in this case the metastasis was isolated to one carpal bone, involvement of multiple carpal bones may occur. 3,13 Acrometastases, as occurred in this case, may be the first manifestation of an occult malignancy. [1][2][3][4] In the Kerin's study, 16% of the patients did not have a known malignancy in their history.…”

“…There are limited reports of metastases to the wrist region and particularly to the hamate bone. [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24] This case report presents a case of metastatic carcinoma to the hamate bone.…”

Metastasis of bronchogenic carcinoma to the 5thmetacarpal bone: a case report

“…The incidence of metastasis to the metacarpals is 17%, phalanges 66% and carpal bones 17% [ 7 ]. Keramidas and Brotherston [ 8 ] published a case with metastasis to both metacarpal and carpal bones, which is extremely rare.…”

“…Other sources include colon, prostate, thyroid, oesophageal and bone cancers [ 10 ]. Men are more commonly involved than women [ 8 ]. Metastases in the hand are the first clinical sign of an undiagnosed tumor in only 16% of all metastases [ 8 ].…”

“…Men are more commonly involved than women [ 8 ]. Metastases in the hand are the first clinical sign of an undiagnosed tumor in only 16% of all metastases [ 8 ].…”