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

Abstract

Background: Metastatic lesions to the hand are very rare and represent 0.1% of all osseous metastases.

Bronchogenic Adenocarcinoma with Bone Marrow Involvement: An Unusual Presentation

“…Tzaveas et al have reported metastasis of bronchogenic lung cancer to the 5th metacarpal [6]. The bronchogenic adenocarcinoma usually erodes the pulmonary veins and thus access to systemic circulation and consequently shows wide spread metastasis [6]. Our case is an unusual presentation of adenocarcinoma lung with the diagnostic difficulties due to non specific presentation and by absence of an obvious mass lesion in chest X ray.…”

“…Bone metastasis usually occurs late in the course of the disease, but in some patients it may be the first manifestation of lung cancer [5]. Tzaveas et al have reported metastasis of bronchogenic lung cancer to the 5th metacarpal [6]. The bronchogenic adenocarcinoma usually erodes the pulmonary veins and thus access to systemic circulation and consequently shows wide spread metastasis [6].…”

Uncommon Bone Metastases of the Hand

“…The localization in metacarpal and the proximal phalanges is rarer. And it is extremely rare in carpal bones [7].…”

“…This clinical presentation may confuse other diagnoses such as hand infection, septic arthritis or osteomyelitis, rheumatic monoarthritis, algoneurodystrophy, tenosynovitis and gout disease [5] [6] [7].…”

Case – Highly aggressive urothelial carcinoma of the bladder presenting with solitary metastasis to the phalanx

“…Metastatic carcinoma to the digits of the hands is exceedingly rare, although it has been reported. One such case reported metastasis of bronchogenic lung cancer to the fifth metacarpal 3 . We report a case of a 59-year-old male patient who presented with urothelial carcinoma of the bladder without evidence of metastatic disease on whole-body imaging.…”