Digital Papillary Adenocarcinoma: A Case Report

We present the case of a 58-year-old male with a five-year history of a solitary, recurrent nodule on the distal pulp of his right middle finger. Histological examination confirmed the diagnosis of digital papillary adenocarcinoma (DPA). Given the lesion's recurrence and bone involvement, amputation of the terminal phalanx was performed following multidisciplinary team (MDT) discussion. Postoperatively, the patient entered a structured surveillance program, consisting of clinical reviews every six months and annual CT imaging of the chest, abdomen, and pelvis to monitor for recurrence or metastasis. At three years post-amputation, the patient remains clinically well with no evidence of disease recurrence. This case highlights the importance of a multidisciplinary approach and long-term follow-up in managing DPA, given its potential for local recurrence and distant metastasis.