Malhame Zakhia Michael, El Rachkidi Rami
Department of Orthopaedics and Traumatology, Notre Dame des Secours University Hospital Medical Center, Byblos, LBN.
Department of Orthopaedics and Traumatology, Bhannes Medical Center, Bhannes, LBN.
Cureus. 2022 Oct 30;14(10):e30861. doi: 10.7759/cureus.30861. eCollection 2022 Oct.
Acrometastases are rare lesions that originate most commonly from the primary lung cancer. They can mislead the diagnosis and the treatment, since they often appear as an osteomyelitis of the affected area. The presence of these metastases is a sign of poor prognosis, with a life expectancy of few months. We report a case of a 78-year-old male with an acrometastasis to the distal phalanx of the right fourth toe. It was the first sign that his previously diagnosed large cell lung carcinoma had reached a metastatic stage. Amputation of the toe was considered in this case where the intense pain of his acrometastasis could not be managed even with strong analgesics.
肢端转移瘤是一种罕见的病变，最常见于原发性肺癌。它们可能会误导诊断和治疗，因为它们通常表现为受累区域的骨髓炎。这些转移瘤的出现是预后不良的标志，预期寿命只有几个月。我们报告一例78岁男性，其右第四趾远端指骨发生肢端转移瘤。这是他之前诊断的大细胞肺癌已进入转移阶段的首个迹象。在这种情况下，考虑到即使使用强效镇痛药也无法控制其肢端转移瘤的剧痛，遂进行了截趾手术。
