title: Acrometastasis to hand in vaginal carcinoma: a rare entity.
abstract: Although metastases to bones from solid tumors are very common, involvement of small bones of the hands is extremely rare. We report the first case of acrometastasis in vaginal carcinoma. We present a 65-year-old multiparous woman with FIGO Stage II vaginal carcinoma. The patient received treatment with external beam radiotherapy followed by brachytherapy. She had complete response to above treatment. Eleven months later, she presented with swelling on dorsum of hand. Investigations revealed metastasis to 4th metacarpal bone with lung metastasis. Hence, we present a patient with metastasis of carcinoma vagina to the 4 th metacarpal to draw the attention for the potential of such lesions to be developed in this region. It should be remembered that bone metastasis at unusual sites might be seen in vaginal carcinoma. We present this case because of its rarity and for documentation and discussion.
authors.affiliation: Department of Radiotherapy and Oncology, Regional Cancer Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: Divya
authors.initials: D
authors.lastname: Khosla
authors.forename: Bhavana
authors.initials: B
authors.lastname: Rai
authors.forename: Firuza D
authors.initials: FD
authors.lastname: Patel
authors.forename: Simit
authors.initials: S
authors.lastname: Sapkota
authors.forename: Radhika
authors.initials: R
authors.lastname: Srinvasan
authors.forename: Suresh C
authors.initials: SC
authors.lastname: Sharma
mesh_terms: D000368:Aged; D000970:Antineoplastic Agents / Q000627:therapeutic use; D001859:Bone Neoplasms / Q000188:drug therapy / Q000556:secondary*; D001918:Brachytherapy; D016190:Carboplatin / Q000627:therapeutic use; D005260:Female; D006225:Hand; D006801:Humans; D007069:Ifosfamide / Q000627:therapeutic use; D008168:Lung / Q000473:pathology*; D008175:Lung Neoplasms / Q000188:drug therapy / Q000556:secondary*; D050279:Metacarpal Bones / Q000473:pathology; D017239:Paclitaxel / Q000627:therapeutic use; D016896:Treatment Outcome; D014625:Vaginal Neoplasms / Q000473:pathology* / Q000532:radiotherapy*
chemical_list: D000970:Antineoplastic Agents; D016190:Carboplatin; D017239:Paclitaxel; D007069:Ifosfamide