Swollen Finger – An Atypical Place for a Metastatic Lesion

Lume, Maria and Couto, Marisa and Lemos, Luís and Monteiro, Ana and Martins, José Carlos (2022) Swollen Finger – An Atypical Place for a Metastatic Lesion. European Journal of Case Reports in Internal Medicine, 9 (3). pp. 1-3. ISSN 2284-2594

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Acrometastasis, referring to metastases located distal to the elbow and knee, is a rare observation. The most common primary cancer site is the lungs, followed by colorectal, breast and genitourinary tract locations.We present a case of a 54-year-old woman with a 25-pack-year smoking history, chronic obstructive pulmonary disease and squamous cell carcinoma of the lung diagnosed at age 50. Upon physical examination, in the distal phalanx of the fourth finger of the right hand, there was a hypervascularized swelling, purplish and painful. Distal amputation of the fourth finger was performed with pathological anatomy compatible with acrometastasis of primary squamous cell carcinoma of the lung. Clinicians should be aware of this type of metastasis because it is sometimes difficult to distinguish from tuberculous dactylitis and other types of osteomyelitis in patients with undiagnosed cancer. The presence of acrometastasis confers a poor prognosis.

Item Type: Article
Uncontrolled Keywords: Acrometastasis, squamous cell carcinoma of the lung
Subjects: 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici)
Depositing User: Marina Spanti
Date Deposited: 14 Apr 2022 13:35
Last Modified: 14 Apr 2022 13:35
URI: http://eprints.bice.rm.cnr.it/id/eprint/21824

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