Skip to main content
PMC home page
Journal of the National Medical Association logoLink to Journal of the National Medical Association
letter
. 1981 Apr;73(4):325–329.

Acrometastases

Philippe B Bricout
PMCID: PMC2552652  PMID: 7218364

Abstract

Metastases to the small bones of the hands and feet are a rare occurrence. The author reports five cases from his personal experience and reviews the literature. Bronchogenic carcinoma appears to be the principal contributor to hand metastases. Although there are approximately 150 reported cases, the true incidence is probably greater due to lack of reporting and lack of attention to the extremities in routine screening procedures. X-ray appearance is uniformly lytic. Local radiotherapy gives palliation.

Full text

PDF
328

Images in this article

326Figure 1
on p.326
327Figure 2
on p.327
328Figure 3
on p.328

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Basora J., Fery A. Metastatic malignancy of the hand. Clin Orthop Relat Res. 1975 May;(108):182–186. doi: 10.1097/00003086-197505000-00029. [DOI] [PubMed] [Google Scholar]
  2. Bouvier M., Lejeune E., Queneau P., Thomas J. D., Colombani R. Les localisations distales du cancer secondaire des os. Rhumatologie. 1971 Dec;23(10):353–361. [PubMed] [Google Scholar]
  3. FILSAKOVA E., FOIT R., MACHARTOVA J., ZAHOR Z. Acrometastases of the bronchogenic carcinoma. Radiol Diagn (Berl) 1962;3:193–200. [PubMed] [Google Scholar]
  4. Floridis G. G., Nixon C. E., Ginsburg H. M. Primary Carcinoma of the Lung With Unusual Manifestations. Cal West Med. 1934 May;40(5):365–367. [PMC free article] [PubMed] [Google Scholar]
  5. GOLD G. L., REEFE W. E. Carcinoma and metastases to the bones of the hand. JAMA. 1963 Apr 20;184:237–239. doi: 10.1001/jama.1963.73700160008021a. [DOI] [PubMed] [Google Scholar]
  6. HICKS M. C., KALMON E. H., Jr, GLASSER S. M. METASTATIC MALIGNANCY TO PHALANGES. South Med J. 1964 Jan;57:85–88. doi: 10.1097/00007611-196401000-00018. [DOI] [PubMed] [Google Scholar]
  7. KARTEN I., BARTFELD H. Bronchogenic carcinoma stimulating early rheumatoid arthritis. Metastases to the fingers. JAMA. 1962 Jan 13;179:162–164. doi: 10.1001/jama.1962.03050020000013. [DOI] [PubMed] [Google Scholar]
  8. KERIN R. Metastatic tumors of the hand. J Bone Joint Surg Am. 1958 Apr;40-A(2):263–278. doi: 10.1097/00006534-195807000-00019. [DOI] [PubMed] [Google Scholar]
  9. Komminoth J., Florange W., Staehling V. Métastase cutanée digitale d'un cancer du plancher buccal. Ann Otolaryngol Chir Cervicofac. 1977 Jan-Feb;94(1-2):53–56. [PubMed] [Google Scholar]
  10. Kumar P. P. Metastases to the bones of the hand. J Natl Med Assoc. 1975 Jul;67(4):275–276. [PMC free article] [PubMed] [Google Scholar]
  11. LEUSCHNER H. EINE SELTENE AKRO-METASTASE DES BRONCHIALKARZINOMS. Z Orthop Ihre Grenzgeb. 1964 Feb;98:194–197. [PubMed] [Google Scholar]
  12. Lombard A., Seignon B., Level M. C., Dubois de Montreynaud J. M., Gougeon J. Métastase phalangienne simulant une ostéite et révélant un cancer bronchique. Sem Hop. 1976 Jan 9;52(2):119–121. [PubMed] [Google Scholar]
  13. MARMOR L., HORNER R. L. Metastasis to a phalanx simulating infection in a finger. Am J Surg. 1959 Feb;97(2):236–237. doi: 10.1016/0002-9610(59)90441-6. [DOI] [PubMed] [Google Scholar]
  14. MULVEY R. B. PERIPHERAL BONE METASTASES. Am J Roentgenol Radium Ther Nucl Med. 1964 Jan;91:155–160. [PubMed] [Google Scholar]
  15. Mangini U. Tumors of the skeleton of the hand,. Bull Hosp Joint Dis. 1967 Oct;28(2):61–103. [PubMed] [Google Scholar]
  16. OZARDA A. T. BILATERAL SYMMETRICAL METASTATIC OSSEOUS LESIONS. Am Surg. 1965 Jan;31:56–57. [PubMed] [Google Scholar]
  17. Panebianco A. C., Kaupp H. A. Bilateral thumb metastasis from breast carcinoma. Arch Surg. 1968 Feb;96(2):216–218. doi: 10.1001/archsurg.1968.01330200054008. [DOI] [PubMed] [Google Scholar]
  18. Pantoja E., Cross V. F., Vitale P., Wendth A. J. Neoplastic involvement of terminal digits masquerading clinically as benign disease. Rev Interam Radiol. 1976 Jul;1(1):9–13. [PubMed] [Google Scholar]
  19. ROSS E. F., FODDEN J. H. Metastasis of bronchogenic carcinoma to the thumb. Can Med Assoc J. 1949 Sep;61(3):310–312. [PMC free article] [PubMed] [Google Scholar]
  20. STRANG R. Phalangeal metastases as a first clinical sign of bronchogenic carcinoma. Br J Surg. 1952 Jan;39(156):372–373. doi: 10.1002/bjs.18003915628. [DOI] [PubMed] [Google Scholar]
  21. TOUBIANA C. G., PROUX C. LES M'ETASTASES OSSEUSES DISTALES. Ann Radiol (Paris) 1965;8:217–228. [PubMed] [Google Scholar]
  22. TRACHTENBERG A. S., ROSWIT B. Bronchogenic carcinoma metastatic to the hand. Am J Roentgenol Radium Ther Nucl Med. 1961 May;85:886–890. [PubMed] [Google Scholar]
  23. Tondeur G., Verschraegen J., Depauw A., Leempoel A. Tumeur métastatique de la main. A propos d'une observation. Acta Chir Belg. 1969 Feb;68(2):141–146. [PubMed] [Google Scholar]
  24. Vaezy A., Budson D. C. Phalangeal metastases from bronchogenic carcinoma. JAMA. 1978 Jan 16;239(3):226–227. [PubMed] [Google Scholar]
  25. Weitzner S. Adenoid cystic carcinoma of submaxillary gland metastatic to great toe. Am Surg. 1975 Oct;41(10):655–658. [PubMed] [Google Scholar]

Articles from Journal of the National Medical Association are provided here courtesy of National Medical Association

RESOURCES