title: Solitary renal cell carcinoma metastasis to the hand: the need for wide excision or amputation.
abstract: Metastatic renal cell carcinoma responds poorly to chemotherapy or radiation therapy and is associated with a dismal survival rate. In cases of a solitary acrometastasis, the literature supports complete resection of the lesion in an effort to prolong survival. We report a patient who presented with a solitary metachronous renal cell metastasis to the middle phalanx of the index finger. The lesion was correctly identified as a renal cell metastasis and aggressive surgical management was performed with curative intent.
authors.affiliation: Division of Orthopaedic Surgery, Box 3312, Duke University Medical Center, Durham, NC 27710, USA.
authors.forename: M A
authors.initials: MA
authors.lastname: Ghert
authors.forename: J M
authors.initials: JM
authors.lastname: Harrelson
authors.forename: S P
authors.initials: SP
authors.lastname: Scully
mesh_terms: D000671:Amputation, Surgical; D001859:Bone Neoplasms / Q000175:diagnosis / Q000556:secondary* / Q000601:surgery; D002292:Carcinoma, Renal Cell / Q000175:diagnosis / Q000556:secondary* / Q000601:surgery; D003952:Diagnostic Imaging; D005260:Female; D005385:Fingers / Q000473:pathology / Q000601:surgery; D006801:Humans; D007680:Kidney Neoplasms / Q000175:diagnosis / Q000601:surgery*; D008875:Middle Aged