Gamblin T Clark, Santos Ricardo S, Baratz Mark, Landreneau Rodney J
Division of Surgical Oncology, Department of Surgery, University of Pittsburgh, Pennsylvania 15213, USA.
Am Surg. 2006 Jan;72(1):98-100.
A 72-year-old male presented with a painful index finger 18 months after sigmoid colon resection for T2 N1 adenocarcinoma. A presumptive diagnosis of gout was made but directed therapy failed to alleviate symptoms. A bone scan was positive for the index finger only and plain films demonstrated a lytic lesion of the distal phalanx. The patient underwent ray amputation of the involved digit and shortly later resection of a solitary pulmonary nodule consistent with colonic metastasis. At 18-month follow-up from these surgeries, the patient was doing well, without evidence of recurrent disease.
一名72岁男性在因T2 N1期腺癌行乙状结肠切除术后18个月出现示指疼痛。初步诊断为痛风，但针对性治疗未能缓解症状。骨扫描仅示指呈阳性，X线平片显示远节指骨有溶骨性病变。患者接受了患指截指术，不久后切除了一个与结肠转移相符的孤立性肺结节。在这些手术后18个月的随访中，患者情况良好，无疾病复发迹象。
