Lung Metastasis Mimicking Fingertip Infection.

Salih Soylemez,Korhan Ozkan,Murat Demiroglu,Bugra Alpan,Mehmet Ali Yayla,Harzem Ozger

doi:10.1155/2015/708789

Salih Soylemez, Korhan Ozkan + Show 4 more

Open Access

https://doi.org/10.1155/2015/708789

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Abstract

Metastasis fingers (acral metastasis) are finding a poor prognosis. Past medical history should be questioned and metastasis from primary tumor should be kept in mind in patients with pain, swelling, and hyperemia in fingers. Successful surgical treatment on acral metastasis does not extend the life expectancy; however, it reduces the patient's pain during his terminal period, saves the functions of the limb, and increases life comfort.

Highlights

Bone tumors most commonly appear as metastases of primary tumor, like prostate, lung, breast, kidney, and gastrointestinal, different parts of the skeletal system
44% of acral metastases originate from primary lung tumors, while 0.2% of patients with lung cancer present with acral metastasis [4, 5]
We aimed to present a case of bilateral acral metastasis due to lung cancer and display the importance of different presentation of the primary tumors

Summary

Introduction

Bone tumors most commonly appear as metastases of primary tumor, like prostate, lung, breast, kidney, and gastrointestinal, different parts of the skeletal system. His finger was swollen and hyperemic; putty white discharge was coming out from the wound His past medical history revealed that he had been diagnosed with squamous cell lung cancer ten months ago. Proximal surgical margin was found to be free of tumor cells His sutures were removed on postoperative 10th day and he was pain-free with soft tissue coverage of the finger. In postoperative examinations taken after 10 months after his first visit to clinic, there were no new acral metastases He was able to use his hands normally during activities (Figure 5). The majority of patients with these symptoms or signs have benign lesions, like infections and benign tumors (e.g., giant cell tumor of tendon sheath), it is crucial to make biopsy to confirm the diagnosis to prevent unnecessary amputations or inadequate treatment [1, 11]. It increases life comfort during the terminal period and simplifies patient’s daily life activities

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