Hsieh Ching-Yun, Bai Li-Yuan, Lo Woei-Chung, Huang Hsin-Hui, Chiu Chang-Fang
Division of Hematology and Oncology, Department of Internal Medicine, China Medical University Hospital, Taichung, Taiwan, China.
South Med J. 2008 Nov;101(11):1159-60. doi: 10.1097/SMJ.0b013e31817bf9be.
A patient with pathologically proven acrometastasis of his left thumb presented 3 months after esophagectomy for esophageal squamous cell carcinoma. Interestingly, there was indeed a faint uptake in his left thumb that was initially considered an artifact in the whole body bone scan taken before esophagectomy. Physicians must be aware of the possibility of acrometastasis, even if there is no other concomitant metastatic area.
一名经病理证实左拇指发生肢端转移的患者，在因食管鳞状细胞癌行食管切除术后3个月出现症状。有趣的是，其左拇指确实存在轻微摄取，在食管切除术前进行的全身骨扫描中最初被认为是伪影。即使没有其他伴随的转移区域，医生也必须意识到肢端转移的可能性。
