2019 Volume 52 Issue 11 Pages 611-619
An-82-year-old man with squamous cell carcinoma (SCC) of the esophagus was initially treated by esophagectomy. Two months later, mild pain, redness and swelling appeared in the right ring finger. Bone X-ray showed osteolytic lesion of the distal phalanx, and the pathological diagnosis of the biopsy specimen was SCC. Therefore, amputation of the distal phalanx was performed. Twenty six months after esophagectomy, he noticed a tender, redness, and ulcer in the right middle fingertip. With a diagnosis of bone metastasis of esophageal cancer, he underwent amputation of the distal phalanx. Thirty five months after esophagectomy, the patient died of axillary lymph node metastasis, small intestine metastasis and pleural dissemination. Metastatic bone tumor is often seen, but metastasis to peripheral bones of the limbs is rare. Furthermore, the present case was rare because long-term survival was achieved after amputation of metachronous multiple bone metastases to the distal phalanx.
