Metastatic renal carcinoma in the hand: treatment with preoperative irradiation and ray resection.
Isolated metastatic renal-cell carcinoma of the hand is a rare disorder that requires aggressive management for pain relief, improvement of hand function, and prevention of further spread of disease. An unusual presentation of isolated, advanced metastatic renal-cell carcinoma in the left third metacarpal of the nondominant hand is presented. Localized preoperative radiation therapy was used prior to ray resection to decrease tumor bulk and vascularity. The patient is alive and disease free at 1 year postoperatively with a functional but impaired hand.
Kobus
R J
RJ
Ohio State University Hospital, Columbus.
Leinberry
C
C
Kirkpatrick
W H
WH
D000368:Aged; D000671:Amputation, Surgical; D001706:Biopsy; D001859:Bone Neoplasms / Q000175:diagnosis / Q000556:secondary* / Q000601:surgery; D002292:Carcinoma, Renal Cell / Q000150:complications* / Q000601:surgery; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000150:complications* / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008663:Metacarpus; D009392:Nephrectomy