Bauer P, Saalfeld U, Schmidt G, Partecke B D
Abteilung für Handchirurgie, Plastische und Mikrochirurgie, Zentrum für Schwerbrandverletzte, Berufsgenossenschaftlichen Unfallkrankenhauses Hamburg.
Handchir Mikrochir Plast Chir. 1997 May;29(3):154-7.
Metastases to the hand are rare. The incidence of secondary tumors in the hand is about 0.15%. The lung, breast, and kidneys are the most common sites of primary lesions that metastasize to the hand. The authors report about a 66-year-old female who showed an osteolytic metastatic lesion in the os pisiforme which was ulcerated on the ulnopalmar aspect of the right wrist, 18 months after radical cystectomy because of a bladder carcinoma. In agreement with the patient, as well as with colleagues from the pathological, oncological, and radiotherapeutical field, the hand was not amputated as this was a solitary metastatic lesion.
手部转移瘤罕见。手部继发性肿瘤的发生率约为0.15%。肺、乳腺和肾脏是转移至手部的原发性病变最常见的部位。作者报告了一名66岁女性,她在因膀胱癌行根治性膀胱切除术后18个月,右手腕尺掌侧的豌豆骨出现溶骨性转移病变且已发生溃疡。经与患者以及病理、肿瘤和放疗领域的同事商议,由于这是一个孤立性转移病变,未对手部进行截肢。