title: Breast metastases to bones of the extremities: simultaneous involvement of all four limbs.
abstract: Metastases to bones of the hands and feet are unusual, and simultaneous metastases to the bones of more than one extremity in a given patient is an extremely rare occurrence with only five previous case reports. In each of these cases the bones of two extremities were affected. A case is presented where the bones of both hands and both feet exhibited bone metastases. A second case with foot bone metastases is recorded. In both cases the primary tumour was a breast carcinoma. Theories of causation of such metastases are discussed.
authors.affiliation: Department of Radiology, Hadassah University Hospital, Jerusalem, Israel.
authors.forename: R A
authors.initials: RA
authors.lastname: Bloom
authors.forename: A
authors.initials: A
authors.lastname: Sulkes
authors.forename: G
authors.initials: G
authors.lastname: Freilick
authors.forename: E
authors.initials: E
authors.lastname: Libson
mesh_terms: D001132:Arm; D001859:Bone Neoplasms / Q000556:secondary*; D001943:Breast Neoplasms / Q000473:pathology*; D002277:Carcinoma / Q000556:secondary*; D005260:Female; D005528:Foot; D006225:Hand; D006801:Humans; D007866:Leg; D008875:Middle Aged