Lung Cancer Presenting as Acrometastasis to the Finger: A Case Report

Lung cancer is the commonest cause of acrometastatic disease to the fingers. Here we describe a case of occult lung cancer presenting as unrelenting finger pain and swelling from a metastatic phalangeal fracture. The patient's management was largely palliative and he died soon after discovery o...

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Main Authors: Lawrence Stephen Long, Leslea Brickner, Lisa Helfend, Tony Wong, Derek Kubota
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2010/234289
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author Lawrence Stephen Long
Leslea Brickner
Lisa Helfend
Tony Wong
Derek Kubota
author_facet Lawrence Stephen Long
Leslea Brickner
Lisa Helfend
Tony Wong
Derek Kubota
author_sort Lawrence Stephen Long
collection DOAJ
description Lung cancer is the commonest cause of acrometastatic disease to the fingers. Here we describe a case of occult lung cancer presenting as unrelenting finger pain and swelling from a metastatic phalangeal fracture. The patient's management was largely palliative and he died soon after discovery of the primary tumor. Digital acrometastatic disease rarely becomes symptomatic before the primary lung cancer is diagnosed and, as observed in this case, carries a very poor prognosis. Clinicians should be cognizant of the strong association between digital acrometastases and bronchogenic carcinoma and vigilant in screening high-risk patients with importunate finger symptoms.
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spelling doaj-art-ebd1d5f2c6f740ff8f98374d9f0127bf2025-08-20T02:21:49ZengWileyCase Reports in Medicine1687-96271687-96352010-01-01201010.1155/2010/234289234289Lung Cancer Presenting as Acrometastasis to the Finger: A Case ReportLawrence Stephen Long0Leslea Brickner1Lisa Helfend2Tony Wong3Derek Kubota4Department of Medicine, Kaiser Permanente, Oakland, CA 94611, USADepartment of Medicine, Kaiser Permanente, Oakland, CA 94611, USADepartment of Pathology, Kaiser Permanente, Oakland, CA 94611, USADepartment of Medicine, Kaiser Permanente, Oakland, CA 94611, USADepartment of Radiology, Kaiser Permanente, Oakland, CA 94611, USALung cancer is the commonest cause of acrometastatic disease to the fingers. Here we describe a case of occult lung cancer presenting as unrelenting finger pain and swelling from a metastatic phalangeal fracture. The patient's management was largely palliative and he died soon after discovery of the primary tumor. Digital acrometastatic disease rarely becomes symptomatic before the primary lung cancer is diagnosed and, as observed in this case, carries a very poor prognosis. Clinicians should be cognizant of the strong association between digital acrometastases and bronchogenic carcinoma and vigilant in screening high-risk patients with importunate finger symptoms.http://dx.doi.org/10.1155/2010/234289
spellingShingle Lawrence Stephen Long
Leslea Brickner
Lisa Helfend
Tony Wong
Derek Kubota
Lung Cancer Presenting as Acrometastasis to the Finger: A Case Report
Case Reports in Medicine
title Lung Cancer Presenting as Acrometastasis to the Finger: A Case Report
title_full Lung Cancer Presenting as Acrometastasis to the Finger: A Case Report
title_fullStr Lung Cancer Presenting as Acrometastasis to the Finger: A Case Report
title_full_unstemmed Lung Cancer Presenting as Acrometastasis to the Finger: A Case Report
title_short Lung Cancer Presenting as Acrometastasis to the Finger: A Case Report
title_sort lung cancer presenting as acrometastasis to the finger a case report
url http://dx.doi.org/10.1155/2010/234289
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