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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6116839PMC
http://dx.doi.org/10.5152/eurjrheum.2017.17064DOI Listing

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Lung cancer is commonly diagnosed at advanced stages, often presenting with metastases. Although bone metastases are common in lung cancer patients, acrometastases - metastatic lesions in the bones of the hand - are exceedingly rare. Herein, we report the case of a 71-year-old male with previously undiagnosed lung adenocarcinoma, which first manifested as a painful swelling in the right hand.

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Article Synopsis
  • Malignant phyllodes tumours (PTs) are aggressive tumors with a high risk of returning and spreading, and currently, there are no effective chemotherapy or targeted therapies available for metastatic PTs.
  • A case study highlights a woman in her late 30s with recurrent malignant PT displaying unusual metastases to her hand, referred to as acrometastases.
  • The report stresses the importance of recognizing these atypical metastasis patterns, given the rapid growth of malignant PTs and the lack of treatment options, signifying the need for quick diagnosis and treatment.
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Two Cases of Acrometastasis from Lung Cancer Revealed on F-FDG PET/CT.

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June 2022

University of Health Sciences Turkey, İstanbul Training and Research Hospital, Clinic of Nuclear Medicine, İstanbul, Turkey.

We present 2 cases of acrometastases that manifest as the first signs of underlying lung cancer. The first case is 37 year-old-man misdiagnosed and treated as having a traumatic fracture at the left thumb. The second case is a 77 year-old-man who received treatment for soft tissue infection at left hand for 4 weeks.

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Metastatic bone disease of the distal extremities, also known as acrometastasis, is very rare. Thus, there is very limited information regarding the clinical manifestations and methods of surgical treatment. The current available literature shows that acrometastases are often encountered in the context of advanced disease and are thus associated with poor patient survival.

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Urinary bladder carcinoma is a common malignancy worldwide. The metastatic disease to distant organs including lung, liver, and bone is well established. However, metastasis to below-knee-level; also known as acrometastasis is a rare occurrence and occurs approximately 0.

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