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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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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
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author Holzgreve, Adrien
Dürr, Hans Roland
Stäbler, Axel
Kaemmerer, Mathias
Unterrainer, Lena M.
Tufman, Amanda
Manapov, Farkhad
Kunz, Wolfgang G.
Unterrainer, Marcus
author_facet Holzgreve, Adrien
Dürr, Hans Roland
Stäbler, Axel
Kaemmerer, Mathias
Unterrainer, Lena M.
Tufman, Amanda
Manapov, Farkhad
Kunz, Wolfgang G.
Unterrainer, Marcus
author_sort Holzgreve, Adrien
collection PubMed
description 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.
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spelling pubmed-100010082023-03-11 Finger Pain as an Uncommon Primary Manifestation of Lung Carcinoma Holzgreve, Adrien Dürr, Hans Roland Stäbler, Axel Kaemmerer, Mathias Unterrainer, Lena M. Tufman, Amanda Manapov, Farkhad Kunz, Wolfgang G. Unterrainer, Marcus Diagnostics (Basel) Interesting Images 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. MDPI 2023-02-27 /pmc/articles/PMC10001008/ /pubmed/36900044 http://dx.doi.org/10.3390/diagnostics13050901 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Interesting Images
Holzgreve, Adrien
Dürr, Hans Roland
Stäbler, Axel
Kaemmerer, Mathias
Unterrainer, Lena M.
Tufman, Amanda
Manapov, Farkhad
Kunz, Wolfgang G.
Unterrainer, Marcus
Finger Pain as an Uncommon Primary Manifestation of Lung Carcinoma
title Finger Pain as an Uncommon Primary Manifestation of Lung Carcinoma
title_full Finger Pain as an Uncommon Primary Manifestation of Lung Carcinoma
title_fullStr Finger Pain as an Uncommon Primary Manifestation of Lung Carcinoma
title_full_unstemmed Finger Pain as an Uncommon Primary Manifestation of Lung Carcinoma
title_short Finger Pain as an Uncommon Primary Manifestation of Lung Carcinoma
title_sort finger pain as an uncommon primary manifestation of lung carcinoma
topic Interesting Images
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10001008/
https://www.ncbi.nlm.nih.gov/pubmed/36900044
http://dx.doi.org/10.3390/diagnostics13050901
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