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Hand metastasis from melanoma: a case study

R H Gelberman, W R Stewart, J M Harrelson

    Clinical Orthopaedics and Related Research
    |October 1, 1978
    PubMed
    Summary
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    Metastases to the hand are rare, with lung, breast, and kidney cancers being the most common causes. This case report details an unusual peripheral hand metastasis from melanoma in a young man, highlighting the need for palliative care due to the poor prognosis.

    Area of Science:

    • Oncology
    • Orthopedic Oncology
    • Dermatopathology

    Background:

    • Metastatic disease to the hand is an uncommon clinical presentation.
    • Carcinomas of the lung, breast, and kidney are the most frequent origins of hand metastases.
    • Peripheral osseous metastases often indicate advanced-stage cancer with a poor prognosis.

    Observation:

    • A case report of a 24-year-old male patient with melanoma presenting with a rare peripheral metastatic lesion to the hand.
    • This represents the first reported instance of hand metastasis originating from melanoma.
    • The patient's clinical presentation included a peripheral lesion indicative of advanced melanoma.

    Findings:

    • Melanoma metastasis to the hand is exceptionally rare.
    • The patient's osseous metastasis from melanoma signifies an extremely poor prognosis.

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  • No prior documented cases of melanoma-induced hand metastases exist in medical literature.

    • Implications:

    • Early recognition of rare metastatic patterns is crucial for accurate diagnosis and staging.
    • Palliative treatment strategies are paramount for patients with osseous metastases from melanoma due to limited therapeutic options.
    • This case underscores the importance of considering melanoma in the differential diagnosis of unusual peripheral bone lesions, even in young patients.