title: Gastric cancer acrometastases to all digits of one hand following closed intramedullary nailing.
abstract: Metastatic malignant tumor of the hand is unusual and the most common site of the primary cancer is lung. Acrometastases to the phalanges of the hand usually involve a single bone, while those proximal to the phalanges often involve multiple bones. Metastasis to the hand from gastrointestinal cancer, particularly from gastric cancer, is extremely rare. To our knowledge, only five cases have been reported in the literature to date and there has been no reported case following closed intramedullary nailing for metastatic diaphyseal fracture of an ipsilateral long bone. We present a very unusual case of gastric cancer, which metastasized to all fingertips of the ipsilateral hand after closed interlocking intramedullary nailing of a pathologic fracture of the humerus.
authors.affiliation: The Musculoskeletal Oncology Group, The Catholic University of Korea, Seoul, South Korea.
authors.forename: Won-Jong
authors.initials: WJ
authors.lastname: Bahk
authors.forename: Seung-Koo
authors.initials: SK
authors.lastname: Rhee
authors.forename: Yong-Koo
authors.initials: YK
authors.lastname: Kang
authors.forename: An-Hee
authors.initials: AH
authors.lastname: Lee
authors.forename: Jung-Mi
authors.initials: JM
authors.lastname: Park
authors.forename: Yang-Guk
authors.initials: YG
authors.lastname: Chung
mesh_terms: D000230:Adenocarcinoma / Q000150:complications* / Q000000981:diagnostic imaging / Q000556:secondary; D000368:Aged; D001859:Bone Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000556:secondary; D017809:Fatal Outcome; D005260:Female; D005385:Fingers / Q000473:pathology*; D005594:Fracture Fixation, Intramedullary / Q000009:adverse effects; D005598:Fractures, Spontaneous / Q000209:etiology* / Q000601:surgery; D006801:Humans; D006810:Humeral Fractures / Q000209:etiology / Q000601:surgery; D006811:Humerus / Q000473:pathology* / Q000601:surgery; D011859:Radiography; D035583:Rare Diseases; D013274:Stomach Neoplasms / Q000473:pathology*