DOI: 10.12890/2022_003207

Swollen Finger – An Atypical Place for a Metastatic Lesion

Authors

  • Maria Lume Internal Medicine Department, Centro Hospitalar e Universitário São João, Porto, Portugal
  • Marisa Couto Internal Medicine Department, Centro Hospitalar e Universitário São João, Porto, Portugal
  • Luís Lemos Internal Medicine Department, Centro Hospitalar e Universitário São João, Porto, Portugal
  • Ana Monteiro Internal Medicine Department, Centro Hospitalar e Universitário São João, Porto, Portugal
  • José Carlos Martins Internal Medicine Department, Centro Hospitalar e Universitário São João, Porto, Portugal

mariajclume@gmail.com

Keywords

Acrometastasis, squamous cell carcinoma of the lung

Abstract

Acrometastasis, referring to metastases located distal to the elbow and knee, is a rare observation. The most common primary cancer site is the lungs, followed by colorectal, breast and genitourinary tract locations.

We present a case of a 54-year-old woman with a 25-pack-year smoking history, chronic obstructive pulmonary disease and squamous cell carcinoma of the lung diagnosed at age 50. Upon physical examination, in the distal phalanx of the fourth finger of the right hand, there was a hypervascularized swelling, purplish and painful. Distal amputation of the fourth finger was performed with pathological anatomy compatible with acrometastasis of primary squamous cell carcinoma of the lung. Clinicians should be aware of this type of metastasis because it is sometimes difficult to distinguish from tuberculous dactylitis and other types of osteomyelitis in patients with undiagnosed cancer. The presence of acrometastasis confers a poor prognosis.

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References

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Published

2022-03-10

Issue

Vol. 9 No. 3 (2022)

How to Cite

1.
Lume M, Couto M, Lemos L, Monteiro A, Martins JC. Swollen Finger – An Atypical Place for a Metastatic Lesion. EJCRIM [Internet]. 2022 Mar. 10 [cited 2026 Nov. 3];9(3). Available from: https://ejcrim.com/index.php/ejcrim/article/view/3207

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