Metastatic colon cancer to the hand.
A 72-year-old male presented with a painful index finger 18 months after sigmoid colon resection for T2 N1 adenocarcinoma. A presumptive diagnosis of gout was made but directed therapy failed to alleviate symptoms. A bone scan was positive for the index finger only and plain films demonstrated a lytic lesion of the distal phalanx. The patient underwent ray amputation of the involved digit and shortly later resection of a solitary pulmonary nodule consistent with colonic metastasis. At 18-month follow-up from these surgeries, the patient was doing well, without evidence of recurrent disease.
Division of Surgical Oncology, Department of Surgery, University of Pittsburgh, Pennsylvania 15213, USA.
T Clark
TC
Gamblin
Ricardo S
RS
Santos
Mark
M
Baratz
Rodney J
RJ
Landreneau
D000230:Adenocarcinoma / Q000175:diagnosis / Q000556:secondary* / Q000601:surgery; D000368:Aged; D000671:Amputation, Surgical; D001175:Arthrography; D001859:Bone Neoplasms / Q000175:diagnosis / Q000556:secondary* / Q000601:surgery; D003110:Colonic Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology*; D003937:Diagnosis, Differential; D050278:Finger Phalanges / Q000000981:diagnostic imaging / Q000473:pathology; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011877:Radionuclide Imaging; D014057:Tomography, X-Ray Computed