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Case Reports
. 2022 May;17(3):NP1-NP4.
doi: 10.1177/15589447211028922. Epub 2021 Jul 3.

A Case of Metastatic Prostate Cancer to the Distal Phalanx

Richard D Lander  1 , Marc J O'Donnell  1
Affiliations
Case Reports

A Case of Metastatic Prostate Cancer to the Distal Phalanx

Richard D Lander et al. Hand (N Y). 2022 May.

Abstract

Metastatic bone tumors to the hand are extremely rare. We present a case of metastatic prostate cancer to the right middle finger distal phalanx. To our knowledge, there is one other case of metastatic prostate cancer to the hand in the literature. In our case, a 59-year-old man with a history of widely metastatic prostate cancer presented to urgent care and was diagnosed with a nail plate avulsion injury. He was referred to hand surgery and treated with amputation of the right middle finger distal phalanx. The pathology reported high-grade poorly differentiated adenocarcinoma with primary lesion from the prostate.

Keywords: acral metastasis; distal phalanx tumor; finger tumor; metastatic cancer; prostate cancer.

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Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Dorsal view of the right middle finger demonstrating fungating subungual mass.
Figure 2.
Figure 2.
Lateral view of the right middle finger demonstrating deformity and purple discoloration of the distal phalanx.
Figure 3.
Figure 3.
Palmer view of the right middle finger distal phalanx.
Figure 4.
Figure 4.
Posteroanterior radiograph of the right hand demonstrating erosive changes to the middle finger distal phalanx.
Figure 5.
Figure 5.
Lateral radiograph of the right hand demonstrating erosive changes to the middle finger distal phalanx with associated soft tissue calcifications.
See this image and copyright information in PMC

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