Bone metastasis in the hand is rare. The etiology is quite different from that of metastasis to other bones; bronchogenic carcinoma is by far the most frequent case. Distal phalanges are mainly involved with irregular osteolysis and cortical destruction. Differential diagnosis of phalangeal metastasis includes osteomyelitis, rheumatoid arthritis and gout. The prognosis is always that of metastatic bronchial cancer with an average survival of three months. Treatment may involve distal digital amputation or antalgic radiotherapy. A case of bronchogenic carcinoma with metastasis to the thumb is presented. The metastasis was located in the distal phalanx of the left thumb. The primary tumor was located in the lung. Treatment consisted of amputation. The overall survival was five months.
Keywordslung cancer hand metastasis
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- 3.Toubiana CG, Proux C. Les métastases osseouss distales.Ann Radiol 1965;8: 217–228.Google Scholar
- 4.Kumar PP. Metastases to the bones of the hand.J Natl Med Assoc 1971;67: 275–276.Google Scholar
- 5.Copeland MM. Skeletal metastases arising from carcinoma and from sarcoma.Arch Surg 1931;23: 581–654.Google Scholar
- 8.Kerin R. The hand in metastatic disease.J Hand Surg 1987;12A: 77–83.Google Scholar
- 16.Sneddon J. Painless metastatic deposit in a finger presenting as a pulp infection with osteitis.Br J Clin Practice 1969;23: 511–513.Google Scholar
- 18.Rose Barry A, Wood Fred M. Metastatic bronchogenic carcinoma masquerading as a felon.J Hand Surg 1983;8: 3.Google Scholar
- 19.Amadio PC, Lombardi RM. Metastatic tumors of the hand.J Hand Surg 1987;12A: 311–316.Google Scholar