Ad Ahmed M Saad, Junaid Iqbal, Shif Shazlee M Kashif, Kamran Hamid, Sumayya Kashif, Saifullah.
Bronchogenic Carcinoma with Hand Metastases: a Case Report.
Pak J Chest Med Jan ;22(2):70-2.

Introduction: Metastatic lesions to the hand are very rare and represent 0.1% of all osseous metastases. Usually, hand metastasis is a sign of very advanced disease, with the presence of previous multiple metastases elsewhere. Only metastasis to the hand is extremely rare. Case Presentation: We present a case report of a 70 years old man presented with pain and large mass on his right hand, he underwent an open biopsy. It revealed a metastasis from bronchogenic carcinoma. A whole-body scintigraphy and computed tomography of chest and abdomen scan were negative for other metastasis however a mass lesion was identified in left lung upper lobe. The patient underwent an amputation at the distal third of the forearm and he is on chemotherapy for primary lung mass. Conclusion: Very few cases are described as hand metastases in the absence of other previous metastases, the purpose of this case report to draw the attention for the potential of such lesions to be developed in this region.

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