Metastasis to Small Bone (Acrometastasis) of Hand Originating from Malignancy of Urinary Bladder: A Case Report

Uncommon Bone Metastases of the Hand

“…Treatment at this stage of the disease is generally palliative because of a short survival median varying from 3 to 6 months [10]. Surgery for these patients is very often difficult because of the risk of anesthesia on fragile ground.…”

“…Pain treatment is the main component of therapeutic management. We can offer curettage followed by adjuvant radiotherapy, radiotherapy with or without chemotherapy [10] or chemotherapy alone in the proximal locations. Radical treatment based on marginal resection or amputation in distal locations can be offered [5], that was the case with our first patient.…”