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A colonic metastatic tumor in the hand
1Department of Orthopaedic Surgery, Walton Hospital, Liverpool, England.
The Journal of Hand Surgery
|September 1, 1987
Summary
Secondary hand tumors are rare, with most originating from lung cancer. This case details a rare instance of colon cancer spreading to the small finger bone, highlighting unusual metastatic patterns.
Area of Science:
- Oncology
- Orthopedic Oncology
- Skeletal Metastasis
Background:
- Secondary tumors of the hand are exceptionally rare in clinical practice.
- Primary bronchial carcinoma is the most common source of reported hand metastases.
- Bone is a frequent site for secondary tumor deposits.
Observation:
- A patient with a history of colonic adenocarcinoma resection presented with a unique metastatic manifestation.
- The metastasis was localized to the middle phalanx of the small finger.
- This represents an unusual site for secondary tumor involvement.
Findings:
- The case highlights a rare bony metastasis to the hand from a primary colonic adenocarcinoma.
- The metastasis occurred two years after the initial tumor resection.
- This finding expands the known spectrum of colonic cancer metastasis.
Implications:
- This case underscores the importance of considering unusual metastatic sites in cancer follow-up.
- It may prompt further investigation into the metastatic potential of colonic adenocarcinoma to distal skeletal locations.
- Clinicians should maintain a high index of suspicion for rare metastases in patients with a history of cancer.