title: Palliative surgery of acrometastases from lung cancer: a case report.
abstract: A clinical case of a woman with lung cancer and a very painful bone metastases of the phalangette of the 4th finger of the right hand (acrometastases) is described. Palliative radiation on the 4th finger was not indicated due to almost complete bone destruction. Both patient and daughter refused administration of strong opioids, such as morphine, for pain management, due to fear of addiction and of opioid-related adverse effects. Phalangectomy, with palliative intent, was performed under local anaesthesia, in day surgery, resulting in complete pain relief.
authors.affiliation: Rehabilitation and Palliative Care Operative Unit, National Cancer Institute of Milan, via Venezian 1, 20133 Milan, Italy.
authors.forename: Tiziana
authors.initials: T
authors.lastname: Campa
authors.forename: Elena
authors.initials: E
authors.lastname: Fagnoni
authors.forename: Carla
authors.initials: C
authors.lastname: Ripamonti
mesh_terms: D000230:Adenocarcinoma / Q000473:pathology* / Q000532:radiotherapy; D000368:Aged; D000671:Amputation, Surgical; D001859:Bone Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary* / Q000601:surgery*; D001932:Brain Neoplasms / Q000473:pathology* / Q000532:radiotherapy; D005260:Female; D005385:Fingers / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology* / Q000532:radiotherapy; D009362:Neoplasm Metastasis; D010166:Palliative Care; D011859:Radiography