[Isolated pain of the hand revealing a metastatic tumor of the hand. Report of a case].
BACKGROUND
Metastatic malignant tumors of the hand are unusual. We describe a patient with gastric cancer.


METHODS
A 64-year-old man in remission of a gastric adenocarcinoma treated surgically one year previously was admitted to hospital for a pain of the right hand associated with an edema. The radiography of the hand established an osteolysis of the third metacarpal. The surgical operation revealed an important inflammatory zone associated with a wide osseous destruction. It consisted of an osteosynthesis of the second and third metacarpal with destruction of lytic fabric. The anatomopathologic examination revealed an osseous metastasis of a gastric adenocarcinoma. The patient died five months after the diagnosis of acrometastasis.


CONCLUSIONS
The acrometastases are difficult to diagnose, a biopsy is often necessary. Evolution during acrometastasis of gastric cancer is the same one as in the other acrometastases. Their treatment is primarily palliative because of their very bad forecast.
Bigot
P
P
Service de chirurgie orthopédique et traumatique, centre hospitalier de Le Mans, 194, avenue Rubillard, 72000 Le Mans, France. pierbigot@wanadoo.fr
Desbois
E
E
Benoist
N
N
Besnier
L
L
Moui
Y
Y
D000230:Adenocarcinoma / Q000000981:diagnostic imaging / Q000401:mortality / Q000473:pathology / Q000556:secondary* / Q000601:surgery; D001706:Biopsy; D001859:Bone Neoplasms / Q000000981:diagnostic imaging / Q000401:mortality / Q000473:pathology / Q000556:secondary* / Q000601:surgery; D003131:Combined Modality Therapy; D006225:Hand; D006801:Humans; D008297:Male; D050279:Metacarpal Bones / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D008875:Middle Aged; D010014:Osteolysis / Q000209:etiology; D010146:Pain / Q000209:etiology*; D011379:Prognosis; D011859:Radiography; D011879:Radiotherapy Dosage; D013274:Stomach Neoplasms; D013997:Time Factors