Thumb metastasis from small cell lung cancer treated with radiation

Carvalho, Heloísa de Andrade; Tsai, Paulo W. C.; Takagaki, Teresa Yae

doi:10.1590/s0041-87812002000600007

Cited by 22 publications

(14 citation statements)

References 9 publications

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“…8 Other possible differential diagnoses can be evoked: cartilaginous matrix tumors, rheumatoid arthritis and gout. 9,14,17 The absence of a known primary neoplasia, should lead to perform a systematic chest x-ray or even a chest CT scan to look for bronchopulmonary neoplasia even if the patient is asymptomatic. 8 The management of these patients depends on the extent of the primary tumor.…”

Section: Discussionmentioning

confidence: 99%

Digital acrometastase as a primary manifestation of a bronchial adenocarcinoma

et al. 2018

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<p>Bone metastases of the hands and feet (acrometastases) are rare. Their presentation is variable and is generally confused with certain inflammatory conditions such as rheumatoid arthritis, gout, tenosynovitis, fracture or infection (panartius, osteomyelitis). The etiology of non-digital acrometastases is common to primary tumors with bone metastases (prostate, lung, kidney, breast, thyroid, and digestive tube). However, digital acrometastases are seen almost exclusively during bronchial neoplasia. We describe the case of a 43 year-old man admitted for pain and swelling of the middle finger distal phalanx of the left hand. Etiological assessement was in favor of an unusual secondary localization of bronchial adenocarcinoma. Tumoral causes must always be evoked before any inflammatory digital symptomatology, from where the interest of a good interrogation and a targeted paraclinical assessment. </p>

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Section: Discussionmentioning

confidence: 99%

Digital acrometastase as a primary manifestation of a bronchial adenocarcinoma

et al. 2018

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“…First, this diagnosis is rare. [5][6][7][8][9] Second, these patients typically present with swelling, erythema, tenderness or loss of function, suggesting a long list of possible diagnoses. Most commonly this presentation suggests an infectious process.…”

Section: Discussionmentioning

confidence: 99%

“…2 Systemic chemotherapy or radiation can be used in cases in which amputation causes the patient to lose hand function and in cases with proximal lesions or multiple lesions. 2,4,7,8 Palliative short course radiation can provide pain relief and help maintain normal hand function. Unfortunately, regardless of the type of treatment, the prognosis of these patients is very poor because acrometastasis generally accompanies widespread disease.…”

Section: Discussionmentioning

confidence: 99%

Acrometastasis as the initial presentation of bronchogenic carcinoma

Ussavarungsi¹

2013

SWRCCC

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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: 99%

An atypical extrahepatic metastasis of the distal phalanx from hepatocellular carcinoma

et al. 2009

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A 49-year-old woman presented with severe swelling and pain of the left little finger, which had exacerbated rapidly, in October 2006. The patient had a history of hepatocellular carcinoma and metastatic lung cancer. She had undergone partial hepatectomy for the hepatocellular carcinoma in September 2001 and pulmonary resection for metastatic lung cancer in November 2005. Roentgenogram of the hand on admission showed complete destruction of the distal phalanx of the left little finger. The final pathological result of the tissue obtained by disarticulation was an extrahepatic metastasis of hepatocellular carcinoma. Extrahepatic metastasis from primary hepatocellular carcinoma to the hand is very rare and only four cases have been reported in the literature. All the patients with extrahepatic metastases from the primary hepatocellular carcinoma to the hand had poor prognoses, but the patient presented in this article exhibited an unusual clinical course. The patient is still alive 1 year after the diagnosis of extrahepatic bone metastasis of the distal phalanx.

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Thumb metastasis from small cell lung cancer treated with radiation

Cited by 22 publications

References 9 publications

Digital acrometastase as a primary manifestation of a bronchial adenocarcinoma

Digital acrometastase as a primary manifestation of a bronchial adenocarcinoma

Acrometastasis as the initial presentation of bronchogenic carcinoma

An atypical extrahepatic metastasis of the distal phalanx from hepatocellular carcinoma

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