Metastasis of gastric cancer to the fifth metacarpal bone.
We present a rare case of a 72-year-old woman who had a metastatic bone tumour on the fifth metacarpal of the left hand from gastric cancer. It had occurred in the patient, two years after subtotal gastrectomy and partial resection of a liver for advances gastric cancer with metastasis to the liver. A number of investigations and the needle biopsy confirmed the diagnosis of the metastatic malignant tumour of fifth metacarpal bone and an amputation was performed. Although our patient died 12 months after hand surgery, amputation was effective in providing relief from pain in the affected hand for the remainder of her life. It is necessary to consider rare acrometastasis to the hand if a patient complains of swelling and pain of the hand without a trigger if there is a history of malignancy, including gastric cancer.
Department of Orthopaedic Surgery, Shimane University School of Medicine, Shimane, 693-8501, Japan. miyamoto@med.shimane-u.ac.jp
Wataru
W
Miyamoto
Soichiro
S
Yamamoto
Yuji
Y
Uchio
D000230:Adenocarcinoma / Q000473:pathology* / Q000556:secondary*; D000368:Aged; D000671:Amputation, Surgical; D001859:Bone Neoplasms / Q000175:diagnosis / Q000556:secondary*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D050279:Metacarpal Bones / Q000473:pathology* / Q000601:surgery; D013274:Stomach Neoplasms / Q000473:pathology*