1995
DOI: 10.1007/bf00198077
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Occult malignancy presenting as metastatic disease to the hand and wrist

Abstract: Osseous metastases to the hand and wrist are uncommon. Most cases represent the manifestation of known malignancy with disseminated disease. Less commonly, acrometastases are the initial presentation of malignancy. In both instances, diagnosis of malignancy is frequently not considered either clinically or radiographically. This results in a delay in diagnosis and in inappropriate therapy. Three cases of occult malignancy presenting as acrometastases are reported. The author stresses the importance of consider… Show more

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Cited by 41 publications
(19 citation statements)
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“…Phalanges are more commonly involved than metacarpal and wrist. Radiographically, metastases appear as aspecific lytic aggressive lesions which can be misdiagnosed as infection, particularly in older patients, if the primitive tumor is not known [17].…”
Section: Malignant Tumorsmentioning
confidence: 99%
“…Phalanges are more commonly involved than metacarpal and wrist. Radiographically, metastases appear as aspecific lytic aggressive lesions which can be misdiagnosed as infection, particularly in older patients, if the primitive tumor is not known [17].…”
Section: Malignant Tumorsmentioning
confidence: 99%
“…They are rare presentations of an end stage disease, accumulating for 0.1% of all metastatic bone lesions [5]. They are usually diagnosed in a patient with a history of already known malignancy, however, in approximately 10% of cases, they occur as the first manifestation of cancer [6].…”
Section: Discussionmentioning
confidence: 99%
“…However, acrometastases or metastases to the hand and foot are rare and occur in less than 0.5% of cases [4,1]. Digital metastases have been described with various malignancies, including nonsmall-cell-carcinoma [4,11,2].…”
Section: Discussionmentioning
confidence: 99%