Mistaking a Tumour for an Infection - Acrometastasis of the Finger from Endocervical Adenosquamous Carcinoma: A Case Report
https://doi.org/10.5704/MOJ.2111.017
- Author:
Yong AS
1
;
Gill PS
1
;
Shalimar A,
1
;
Sapuan J
1
Author Information
1. Department of Orthopaedics and Traumatology, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
- Publication Type:Journal Article
- Keywords:
acrometastasis, metastasis, hand infection, endocervical adenosquamous carcinoma, terminal presentation
- From:Malaysian Orthopaedic Journal
2021;15(No.3):115-117
- CountryMalaysia
- Language:English
-
Abstract:
Acrometastasis is rare with a very low incidence of all bone
metastasis. It can present with swelling, pain and warmth
with erythema that may mimic an infection especially in the
distal phalanx. Due to its rarity and subtle clinical
presentation, it can be misdiagnosed as an infection causing
the treatment to be delayed. We report a 42-year-old female
with an acrometastasis to the distal phalanx of the left middle
finger which we mistook as an infection thus delaying her
treatment. It was a terminal presentation of her endocervical
adenosquamous carcinoma. We would like to highlight that
acrometastasis has an indistinct presentation and in cases
where the lesion does not respond to treatment,
acrometastasis should be included as one of the differential
diagnoses. Thus, physicians need to have a high level of
suspicion in patients with a primary malignant tumour.
- Full text:16.2021my1209.pdf
