Cases of metastatic cancer to the peripheral bones are rarely seen.
This is a case report of a patient with metastatic cancer to the left fifth metacarpus.
The patient, 44 years old, male, had complained of painful swelling in his left hand for a few months' duration.
Roentgenographically an osteolytic lesion was discovered in his left metacarpus. At first enchondroma or giant cell tumor was suspected, but cytological examination demonstrated cancer cells, and histological examination revelaed adenocarcinoma.
The involved bone was resected. One month after the surgery, a tumorous mass appeared at the supraclavicular lymph node, and osteolytic lesions in the skull and right calcaneus were discovered. The primary lesion was found in the lung after the general survey for two months.