Knapp D, Abdul-Karim F W
Institute of Pathology, Case Western Reserve University, Cleveland, Ohio.
Acta Cytol. 1994 Jul-Aug;38(4):589-91.
We describe two cases of adenocarcinoma metastatic to the fingers diagnosed by fine needle aspiration (FNA). In one case pain in the finger lesion was the presenting symptom of bronchogenic carcinoma, and the cytologic examination led to discovery of the primary neoplasm. In the second case, FNA of the finger lesion helped document the presence of extensive osseous metastasis from a primary adenocarcinoma of the gastroesophageal junction. These cases illustrate the usefulness of FNA biopsy in distinguishing acrometastasis from other, more common, nonneoplastic, destructive lesions, which it can mimic clinically.
我们描述了两例经细针抽吸活检（FNA）诊断为转移至手指的腺癌病例。其中一例，手指病变处疼痛是支气管源性癌的首发症状，细胞学检查促使发现了原发性肿瘤。在第二例中，手指病变的FNA有助于证实存在源于胃食管交界原发性腺癌的广泛骨转移。这些病例说明了FNA活检在鉴别肢端转移瘤与其他临床上可能与之相似的更常见的非肿瘤性破坏性病变方面的作用。
