Miyamoto Wataru, Yamamoto Soichiro, Uchio Yuji
Department of Orthopaedic Surgery, Shimane University School of Medicine, Shimane, 693-8501, Japan.
Hand Surg. 2008;13(3):193-5. doi: 10.1142/S0218810408004079.
We present a rare case of a 72-year-old woman who had a metastatic bone tumour on the fifth metacarpal of the left hand from gastric cancer. It had occurred in the patient, two years after subtotal gastrectomy and partial resection of a liver for advances gastric cancer with metastasis to the liver. A number of investigations and the needle biopsy confirmed the diagnosis of the metastatic malignant tumour of fifth metacarpal bone and an amputation was performed. Although our patient died 12 months after hand surgery, amputation was effective in providing relief from pain in the affected hand for the remainder of her life. It is necessary to consider rare acrometastasis to the hand if a patient complains of swelling and pain of the hand without a trigger if there is a history of malignancy, including gastric cancer.
我们报告一例罕见病例，一名72岁女性左手第五掌骨出现来自胃癌的转移性骨肿瘤。该情况发生在患者因进展期胃癌伴肝转移接受胃次全切除术和部分肝脏切除术两年后。多项检查及针吸活检确诊为第五掌骨转移性恶性肿瘤，并进行了截肢手术。尽管我们的患者在手部手术后12个月死亡，但截肢有效地缓解了患手的疼痛，使其余生不再受其困扰。如果患者有包括胃癌在内的恶性肿瘤病史，且手部出现肿胀和疼痛而无诱因，就有必要考虑罕见的手部远端转移情况。
