Phalangeal metastases as a first clinical sign of bronchogenic carcinoma

Metastatic carcinoma in the hand presenting as an acute paronychia

“…In a recent review of 156 cases in the world literature, Kerin 3 found that 52 cases arose from lung tumours, and 15 originated from breast carcinomata. As in this case, a phalangeal metastasis may be the first manifestation of a bronchogenic carcinoma 4 . The distal phalanges are more commonly affected than the other bones in the hand.…”

Occult malignancy presenting as metastatic disease to the hand and wrist

“…Most of these are preterminal events; they are frequently a manifestation of known malignancy and widespread metastases [ 1,6,7]. The cases presented in this report represent examples of the uncommon circumstance of acrometastasis appearing as the initial sign of malignancy [1,4,5,8,9]. Although this is an unusual occurrence, it is important to be aware of the possibility of an initial acrometastasis, because it may mimic other skeletal lesions such as infection or inflammatory arthritis both clinically and radiographically [1,4].…”

Bronchogenic carcinoma presenting as an injured thumb.

“…Kerin (1983), in his extensive review of the literature, found that the incidence of secondary tumour in the hand was little over 01I% of all metastases, but he reported a series of over 150 cases. Half the tumours originated in the lung, usually of the squamous cell type (Strang, 1952). A wide variety of other primary sites is recorded, and of these breast and kidney predominate.…”