CC BY-NC-ND 4.0 · Indian J Med Paediatr Oncol 2009; 30(04): 149-150
DOI: 10.4103/0971-5851.65343
CASE REPORT

Cancer lung: An unusual presentation

Shankar L Jakhar
Department of Radiotherapy, Mathura Das Mathur Hospital, Dr. Sampurnanand Medical College, Jodhpur, Rajasthan, India
,
Rohitashwa Dana
Department of Radiotherapy, Mathura Das Mathur Hospital, Dr. Sampurnanand Medical College, Jodhpur, Rajasthan, India
,
D P Punia
Department of Radiotherapy, Mathura Das Mathur Hospital, Dr. Sampurnanand Medical College, Jodhpur, Rajasthan, India
› Author Affiliations

Abstract

Phalanx bone metastasis as the initial manifestation of lung cancer is a rare presentation. A 70-year-old man presented with swelling and pain in his right ring finger. He had no other complaints or abnormal findings on clinical examination. A right hand radiograph showed an osteolytic lesion in the first phalanx of the ring finger. Fine needle aspiration cytology of the swelling suggested a metastatic adenocarcinoma. A skeletal survey, hematological, biochemical, and other radiological tests were found to be normal, except for an opacity seen in the right lung midzone. A bronchoscopic biopsy revealed adenocarcinoma of the lung.



Publication History

Article published online:
19 November 2021

© 2009. Indian Society of Medical and Paediatric Oncology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/.)

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  • References

  • 1 Gilbert HA, Kagan AR, Nussbaum H, Rao AR, Satzman J, Chan P, et al. Evaluation of radiation therapy for bone metastases: pain relief and quality of life. AJR Am J Roentgenol 1977;129:1095-6.
  • 2 Lote K, Wallψe A, Bjersand A. Bone metastasis: Prognosis, diagnosis and treatment. Acta Radiol Oncol 1986;25:227-32.
  • 3 Nielsen OS, Munro AJ, Tannock IF. Bone metastases: Pathophysiology and management policy. J Clin Oncol 1991;9:509-24.
  • 4 Adegboyega PA, Adesokan A, Viegas SF. Acrometastasis in renal cell carcinoma. South Med J 1999;92:1009-12.
  • 5 Amadio PC, Lombardi RM. Metastatic tumors of the hand. J Hand Surg Am 1987;12:311-16.
  • 6 Kerin R. The hand in metastatic disease. J Hand Surg Am 1987;12:311-6.
  • 7 Tolo ET, Cooney WP, Wenger DE. Renal cell carcinoma with metastases to the triquetrum: case report. J Hand Surg Am 2002;27:876-81.
  • 8 Troncoso A, Ro JY, Grignon DJ, Han WS, Wexler H, von Eschenbach A, et al. Renal cell carcinoma with acrometastasis: Report of two cases and review of the literature. Mod Pathol 1991;4:66-9.
  • 9 Nissenbaum M, Kutz JE, Lister GD. Clear-cell carcinoma of the lung metastatic to the hamate: A case report. Clin Orthop Relat Res 1978;134:293-6.
  • 10 Keramidas E, Brotherston M. Extensive metastasis to the hand from undiagnosed adenocarcinoma of the lung. Scand J Plast Reconstr Surg Hand Surg 2005;39:113-5.
  • 11 Elhassan B, Fakhouri A. Metastasis of squamous-cell carcinoma of the lung to the first web space of the hand. J Bone Joint Surg Br 2007;89:1243-6.
  • 12 Handley WS. Cancer of the breast and its operative treatment. 2 nd ed. London: John Murray; 1906.
  • 13 Basora J, Fery A. Metastatic malignancy of the hand. Clin Orthop Relat Res 1975;108:182-6.