Occult malignancy presenting as metastatic disease to the hand and wrist

Abrahams, Tod G.

doi:10.1007/bf00198077

Cited by 40 publications

(19 citation statements)

References 11 publications

(31 reference 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%

Diagnostic imaging of tumors of the hand and wrist

García

Bianchi

2001

Eur Radiol

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Tumors of the hand and wrist most commonly result from dystrophic lesions and hamartomas. Neoplastic lesions are rare. Imaging modalities are required for their detection and accurate location, careful assessment of the internal structure and borders, evaluation of the relation with surrounding tendons, nerves, and vessels, and are also required for staging. A variety of imaging techniques, including standard radiographs, sonography, CT, and MRI, can be obtained. The aim of this article is to present paradigmatic images of a variety of expansible lesions of the hand and wrist and to describe and compare the diagnostic findings of different imaging techniques.

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Section: Malignant Tumorsmentioning

confidence: 99%

Diagnostic imaging of tumors of the hand and wrist

García

Bianchi

2001

Eur Radiol

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“…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%

Acrometastasis due to Lung Adenocarcinoma

Apollonatou

Loukides

Papaioannou

et al. 2018

Advances in Respiratory Medicine

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We are presenting a case of acrometastasis in a male patient with lung adenocarcinoma. Acrometastases accumulate for 0.1% of all metastatic bone lesions and can be the first manifestation of cancer in approximately 10% of cases. The main clinical manifestations are tenderness, intermittent pain, functional impairment, erythema, heat and swelling of the affected part. Lung cancer is the main primary malignancy which causes acrometastases. Although the lesions can be recognized in x-rays or CT scans, the gold standard for the diagnosis is MRI scan in which the full extension of the tumor can be evaluated.The diagnosis is usually confirmed by fine-needle biopsy of the affected bone. In the presence of acrometastases, prognosis is very poor and palliative treatment is usually recommended. This case shows that patients at risk for lung cancer should be screened intensively when they develop persistent digital symptoms.

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“…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%

Palliative surgery of acrometastases from lung cancer: a case report

Campa¹,

Fagnoni²,

Ripamonti³

2004

Supportive Care in Cancer

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A clinical case of a woman with lung cancer and a very painful bone metastases of the phalangette of the 4th finger of the right hand (acrometastases) is described. Palliative radiation on the 4th finger was not indicated due to almost complete bone destruction. Both patient and daughter refused administration of strong opioids, such as morphine, for pain management, due to fear of addiction and of opioid-related adverse effects. Phalangectomy, with palliative intent, was performed under local anaesthesia, in day surgery, resulting in complete pain relief.

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Occult malignancy presenting as metastatic disease to the hand and wrist

Cited by 40 publications

References 11 publications

Diagnostic imaging of tumors of the hand and wrist

Diagnostic imaging of tumors of the hand and wrist

Acrometastasis due to Lung Adenocarcinoma

Palliative surgery of acrometastases from lung cancer: a case report

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