Acrometastasis to Two Phalanges of a Single Phalanx and Tibia
Journal Title: Majallah-i jarrāḥī-i ustukhvān va mafāṣil-i Īrān - Year 2018, Vol 16, Issue 1
Abstract
Acrometastasis or metastasis distal to elbow and/or knee is a very rare event. A 31 y/o female, a known case of breast cancer for 3 years presented with a swollen 4th right finger. Radiographs and then biopsy showed separate metastases to middle and distal phalanges, an extremely rare event. She was managed with ray amputation. Four months later she developed a second metastasis, this time to her left tibia, again a rare site for metastasis, that was managed by closed intramedullary nailing. Sadly, she died of pulmonary metastasis, 9 months after her hand event. Acrometastasis is a rare finding and predicts a short survival.
Authors and Affiliations
Alireza Alireza Saied, Farshad Farshad Zand Rahimi
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