Chen Yi, Tang Weiwei, Xiao Hua, Chen Jinfei, Zhao Huanyu, Shi Junfeng
Department of Oncology, Nanjing First Hospital, Nanjing Medical University.
Department of Oncology, Nanjing Pukou Central Hospital.
Onco Targets Ther. 2017 May 9;10:2449-2452. doi: 10.2147/OTT.S132027. eCollection 2017.
Distant soft tissue tumor metastasis isolated in the digit, presenting as a primary esophageal squamous cell carcinoma is considered extremely rare. Herein, we present a rare case of a 44-year-old male patient with squamous cell carcinoma of the esophagus associated with the clinical symptoms of progressive dysphagia and hoarseness in the course of 2 days. During the second course of chemotherapy, the patient sustained a fall with scald to his right ring finger, while the swelling in the right ring finger was soft, cystic and 2.0×1.8 cm in size. Then, phalangectomy was performed in his right ring finger and pathologic diagnosis was considered metastasis from the esophagus. Unfortunately, the patient succumbed to this disease within 2 months of diagnosis of metastasis. In conclusion, detection of soft tissue metastasis may have prognostic implications, providing more accessible biopsy sites and helping avoid invasive procedures.
孤立于手指的远处软组织肿瘤转移，表现为原发性食管鳞状细胞癌，极为罕见。在此，我们报告一例罕见病例，一名44岁男性患者，患有食管鳞状细胞癌，在2天病程中出现进行性吞咽困难和声音嘶哑的临床症状。在第二次化疗过程中，患者摔倒致右手环指烫伤，右手环指肿胀，质地柔软，呈囊性，大小为2.0×1.8厘米。随后对其右手环指实施了指骨切除术，病理诊断为食管转移。不幸的是，患者在转移诊断后2个月内死于该病。总之，软组织转移的检测可能具有预后意义，可提供更易获取的活检部位并有助于避免侵入性操作。
