Capitate Metastases in Adenocarcinoma Lung: A Rare Occurrence.
- Author:
Jaspreet Kaur
;
Renu Madan
;
Maneesh Kumar Vijay
;
Pramod Kumar Julka
;
Goura Kishore Rath
- Publication Type:Case Reports
- Keywords:
carpal bone;
metastases;
lung cancer;
palliative;
radiotherapy
- From:Malaysian Journal of Medical Sciences
2015;22(5):85-88
- CountryMalaysia
- Language:English
-
Abstract:
Metastatic carcinoma is the most common malignancy of the bone. Metastases to the
upper limbs of the skeleton are extremely uncommon, with only 10–15% occurring in this region.
Metastases to the hand and wrist comprise about 0.15% of all hand tumours, and only 0.1% of all
metastases. Carpal bone metastases are much rarer than those to the metacarpal and phalangeal
bones. They usually masquerade as more common hand pathology such as arthritis or osteomyelitis.
Given the bleak prognosis of carpal metastatic disease in lung cancer, treatment of a metastasis to
the hand is usually palliative. Contrary to earlier beliefs, palliative radiotherapy plays a significant
role in pain relief and improving hand mobility in patients diagnosed with metastatic disease of the
hand. We report a case of adenocarcinoma of the lung with metastases to the capitate bone of the
carpus treated with palliative radiotherapy.
- Full text:P020150907372564504979.pdf
