Trauma and Orthopaedics, Royal Sussex County Hospital, Brighton, UK
General Surgical Department, Royal Sussex County Hospital, Brighton, UK.
BMJ Case Rep. 2020 Sep 9;13(9):e236259. doi: 10.1136/bcr-2020-236259.
Gastric adenocarcinoma typically metastasises to the liver, peritoneum and lung. Bone metastasises are less frequent and particularly uncommon in the distal extremities. This is an unusual case of metastatic disease in the distal phalanx mimicking the presentation of osteomyelitis. This case highlights the need to remain vigilant in patients with known cancer and to always be mindful of metastatic disease, even if the presentation is atypical.
胃腺癌通常转移至肝脏、腹膜和肺部。骨转移则较为少见,尤其在远端肢端更为罕见。这是一个不常见的病例,远端指骨的转移性疾病表现类似于骨髓炎。这个病例强调了在已知患有癌症的患者中保持警惕的必要性,并且即使表现不典型,也要始终注意转移性疾病。