title: Unusual metastasis to all the digits of both hands in a patient previously operated on for esophageal carcinoma.
abstract: Metastatic malignancies to the hand, although rare, usually develop from lung, breast, and kidney tumors. Very rarely the origin is the gastrointestinal system. Metastases to the bones of the hand can cause pain, swelling, soft tissue ulceration, and osteolytic destruction. We present a patient with metastatic tumors to all digits of both hands 2.5 years after being operated on for esophageal carcinoma. The patient underwent amputation of the left little finger followed by systemic chemotherapy. The histopathological diagnosis was consistent with that of the primary tumor. This case is being presented for being the rarest of its kind and may even be the first of its nature in the world's literature as an extensive search has not shown another of its kind to date.
authors: Department of Cardiothoracic and Vascular Surgery, Sher-i-Kashmir Institute of Medical Sciences, Soura, Srinagar, Kashmir 190011, India.
authors: Abdul Majeed
authors: AM
authors: Dar
authors: Nadeem Ul Nazeer
authors: NU
authors: Kawoosa
authors: Mukand Lal
authors: ML
authors: Sharma
authors: Mohammad Akbar
authors: MA
authors: Bhat
mesh_terms: D000368:Aged; D000671:Amputation, Surgical; D001859:Bone Neoplasms / Q000556:secondary* / Q000601:surgery; D002277:Carcinoma / Q000556:secondary* / Q000601:surgery; D017024:Chemotherapy, Adjuvant; D004938:Esophageal Neoplasms / Q000473:pathology* / Q000601:surgery; D016629:Esophagectomy; D050276:Hand Bones / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008297:Male; D016896:Treatment Outcome