Brygger Louise, Cold Søren
Onkologisk Afdeling R, Odense Universitetshospital, Sdr. Boulevard 29, 5000 Odense.
Ugeskr Laeger. 2015 Jan 26;177(2A):26-7.
A woman was referred to adjuvant chemotherapy after radical mastectomy. Frozen gloves were used to prevent onycholysis and neurotoxicity. Because of rapid progression of the cancer she received palliative chemotherapy. Shortly after she presented with growing subungual inflammation, first suspected to be a felon, but later diagnosed as a metastasis. Acrometastasis is very rare and is often mistaken for infection. The learning point is to consider acrometastasis when treatment for felon fails in patients with a history of cancer. A possible relationship between frozen gloves and acrometastasis cannot be excluded.
一名女性在根治性乳房切除术后接受辅助化疗。使用了冷冻手套以预防甲床分离和神经毒性。由于癌症进展迅速,她接受了姑息性化疗。不久后,她出现了进行性的甲下炎症,最初怀疑是脓性指头炎,但后来被诊断为转移瘤。肢端转移非常罕见,常被误诊为感染。经验教训是,对于有癌症病史的患者,若脓性指头炎治疗失败,应考虑肢端转移。不能排除冷冻手套与肢端转移之间可能存在的关联。