title: Synchronous phalangeal metastases in upper and lower limbs from primary breast malignancy: a rare case scenario with a review of the literature.
abstract: Osseous metastasis from a primary breast cancer is common, and the skeletal related morbidity is high. However, solitary acral bony metastasis is rare and the diagnosis of these lesions poses a challenge to the physician. We describe a case of a patient treated with primary breast cancer who later presented with metastatic osteolytic bone lesions confined to a forefinger and toe.
authors.affiliation: Department of Radiation Oncology, Amrita Institute of Medical Sciences and Research Centre, Kochi, Kerala, India.
authors.forename: Rahul
authors.initials: R
authors.lastname: Ravind
authors.affiliation: Department of Radiation Oncology, Amrita Institute of Medical Sciences and Research Centre, Kochi, Kerala, India.
authors.forename: Chelakkot G
authors.initials: CG
authors.lastname: Prameela
authors.affiliation: Department of Radiation Oncology, Amrita Institute of Medical Sciences and Research Centre, Kochi, Kerala, India.
authors.forename: Bharath Chandra
authors.initials: BC
authors.lastname: Gurram
authors.affiliation: Department of Radiation Oncology, Amrita Institute of Medical Sciences and Research Centre, Kochi, Kerala, India.
authors.forename: Makuny
authors.initials: M
authors.lastname: Dinesh
mesh_terms: D000328:Adult; D001859:Bone Neoplasms / Q000556:secondary*; D001842:Bone and Bones / Q000473:pathology*; D001940:Breast / Q000473:pathology*; D001943:Breast Neoplasms / Q000473:pathology*; D005260:Female; D050278:Finger Phalanges / Q000473:pathology*; D006801:Humans; D014034:Toes / Q000473:pathology*