title: Diffuse swelling of one finger in a patient with metastatic breast cancer.
abstract: Tumor metastases distal to the elbow, and specifically in the hand, are extremely rare. The diagnosis can be difficult, because these lesions can resemble those of rheumatoid arthritis, other inflammatory arthritis, and osteomyelitis. Therefore, rheumatologists should consider metastasis to the limbs in the differential diagnosis of individuals who present with joint or bone manifestations and history of cancer, even if remote. We report a woman with breast cancer and metastatic disease predominantly affecting one finger.
authors.affiliation: Department of Internal Medicine, Division of Rheumatology.
authors.forename: M J
authors.initials: MJ
authors.lastname: Kaplan
authors.forename: T
authors.initials: T
authors.lastname: Propeck
authors.forename: D P
authors.initials: DP
authors.lastname: Fessell