1998
DOI: 10.1007/bf02787214
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Metastasis of bronchogenic carcinoma to the thumb

Abstract: Bone metastasis in the hand is rare. The etiology is quite different from that of metastasis to other bones; bronchogenic carcinoma is by far the most frequent case. Distal phalanges are mainly involved with irregular osteolysis and cortical destruction. Differential diagnosis of phalangeal metastasis includes osteomyelitis, rheumatoid arthritis and gout. The prognosis is always that of metastatic bronchial cancer with an average survival of three months. Treatment may involve distal digital amputation or anta… Show more

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Cited by 29 publications
(15 citation statements)
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“…17,19,20 Metastatic malignancies of the hand are rare and they usually develop from the lung. 21,22 Bone metastasis of hepatocellular carcinoma to the hand is very rare and there are only four cases in the literature. Reichbach et al 1 reported the fi rst case of metastatic lesion of the distal phalanx of the thumb from primary hepatocellular carcinoma.…”
Section: Discussionmentioning
confidence: 98%
“…17,19,20 Metastatic malignancies of the hand are rare and they usually develop from the lung. 21,22 Bone metastasis of hepatocellular carcinoma to the hand is very rare and there are only four cases in the literature. Reichbach et al 1 reported the fi rst case of metastatic lesion of the distal phalanx of the thumb from primary hepatocellular carcinoma.…”
Section: Discussionmentioning
confidence: 98%
“…Advanced tumors can appear ulcerated and cause severe irritation. Radiologic appearance demonstrated by irregular osteolytic lesions lacking a periosteal reaction 7 coupled with the presence of a history of malignancy should raise suspicion for acrometastasis, although the differential diagnosis includes gout, rheumatoid arthritis, whitlow, osteomyelitis, fistula, and osteoarthropathy.…”
Section: Discussion and Review Of Literaturementioning
confidence: 99%
“…In this paper, a rare case of thumb metastasis from “follicular-type carcinoma” of the thyroid is presented. Isolated cases of thumb metastasis from several origins have been described in the literature [57]. Kerin in 1983 published the most recent review of 163 hand metastases in the world literature.…”
Section: Discussionmentioning
confidence: 99%