Lung Metastasis Mimicking Fingertip Infection

Abstract

Metastasis fingers (acral metastasis) are finding a poor prognosis. Past medical history should be questioned and metastasis from primary tumor should be kept in mind in patients with pain, swelling, and hyperemia in fingers. Successful surgical treatment on acral metastasis does not extend the life expectancy; however, it reduces the patient's pain during his terminal period, saves the functions of the limb, and increases life comfort.

Lung cancer metastasis mimicking fingertip osteomyelitis: An 18F-fluorodeoxyglucose positron emission tomography-computed tomography study

“…Acral metastasis is usually associated with advanced lung cancer and very rarely can be the first sign of the carcinoma. [ 5 6 ] It is usually a poor prognostic sign and most commonly on the dominant hand and distal phalanx. Since in our case the patient was right-handed and diabetic, the painful symptoms were underestimated due to microangiopathy and peripheral neuropathy but also due to the lower use compared to the contralateral hand.…”

Endometrial adenocarcinoma recurrence presenting with tibial metastasis: Report of a case

“…Amputative surgery for acral metastases may be included, for cancers with poor response to radiation therapy and chemotherapy [15] . Painful metastases to the fingers of both hands and feets have been advised to be treated with amputation to increase life comfort during the terminal period and to ease patient’s daily life activities [16] , [14] . However as it was seen in our case if disease have been presented with an isolated solitary bone metastasis a surgical procedure may be effective to obtain a longer life expectancy while protecting the limb and possible cure of the disease.…”

A Case of Metastatic Prostate Cancer to the Distal Phalanx

“…It is not uncommon for fingertip metastatic disease to mimic infection, and this often leads to delayed care for the patient. 4 The presumed reason for this is the rarity with which medical providers see and evaluate patients with malignant hand lesions. The following is a case report of metastatic prostate cancer to the hand initially misdiagnosed as a nail plate avulsion injury, including a detailed discussion of metastatic prostate cancer.…”