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Finger Pain as an Uncommon Primary Manifestation of Lung Carcinoma

A 54-year-old patient presented with progressive pain for one month in the second finger of the right hand with an emphasis on the proximal interphalangeal (PIP) joint. Subsequent magnetic resonance imaging (MRI) showed a diffuse intraosseous lesion at the base of the middle phalanx with destruction...

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Detalles Bibliográficos
Autores principales: Holzgreve, Adrien, Dürr, Hans Roland, Stäbler, Axel, Kaemmerer, Mathias, Unterrainer, Lena M., Tufman, Amanda, Manapov, Farkhad, Kunz, Wolfgang G., Unterrainer, Marcus
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10001008/
https://www.ncbi.nlm.nih.gov/pubmed/36900044
http://dx.doi.org/10.3390/diagnostics13050901
Descripción
Sumario:A 54-year-old patient presented with progressive pain for one month in the second finger of the right hand with an emphasis on the proximal interphalangeal (PIP) joint. Subsequent magnetic resonance imaging (MRI) showed a diffuse intraosseous lesion at the base of the middle phalanx with destruction of the cortical bone and extraosseous soft tissue. An expansively growing chondromatous bone tumor, e.g., a chondrosarcoma, was suspected. After incisional biopsy, the pathologic findings finally revealed, surprisingly, a metastasis of a poorly differentiated non-small cell adenocarcinoma of the lung. This case illustrates a rare but important differential diagnosis for painful finger lesions.