Journal of Clinical Case Reports

A Thumb Acrometastasis Revealing Lung Adenocarcinoma: A Case Report and Review

Abstract

Khmamouche MR, Aassab R, Debbagh A, Elbahraouy A, Mahfoud T, Tanz R, Ichou M and Errihani H

Lung cancer is the commonest cause of acrometastatic disease to the fingers. Treatment of acrometastasis is palliative with radiation or amputation and the prognosis is poor. The authors report a case of phalangeal metastasis in a man aged 72 years old, diagnosed as a painful swelling of the thumb, revealing a bronchial adenocarcinoma. An amputation of the thumb was performed. Histology confirmed a metastasis from the lung adenocarcinoma. The patient died one month after discovery of the primary tumor.