Abstract
Metastases in the bones of the hands and feet are rate. The literature relating to these tumours has been reviewed, and 43 new cases are reported. In the comulative total of cases, metastases to the hand outnumber those to the foot 2:1 (196 cases as against 94). Bronchial carcinoma is the most common neoplasm metastasising to the hand. Subdiaphragmatic neoplasms such as gastrointestinal, vesical, renal and uterine malignancies, metastasise more frequently to the foot. A possible explanation for this latter finding is the retrograde spead of tumour emboli from the vertebral venous plexus down incompetent leg veins.
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References
Basora J (1975) Metastatic malignancy of the hand. Clin Orthop 108: 182
Batson VO (1940) The function of the vertebral veins and their role in the spread of metastases. Ann Surg 112: 338
Bloodgood JC (1920) Bone tumours, benign and malignant. Am J Surg 34: 229
Bricout PB (1981) Acrometastases J Nat Med Assoc 73: 325
Bunkis J, Carter RD (1982) Peripheral bone metastases from genitourinary tumors. Urology 19: 302
Bunkis J, Melvhof A, Stayman J (1980) Metastatic lesions of the hand and foot. Orthop Rev 9: 97
Carando M (1951) Su una rara metastasi falangea di carcinome della vescica. Urologia 18: 256
Cary PC, Helms CA, Genant HK (1981) Metastatic disease to the carpus. Br J Radiol 54: 992
Coley BL (1949) Neoplasms of bone and related conditions. Their etiology, pathogenesis, diagnosis and treatment. Paul B. Hoeber, New York, p 460
Gelberman RH, Stewart WR, Harrelson JM (1978) Hand metastasis from melanoma. A case study. Clin Orthop 136: 264
Gottlieb PD, Parikh SJ, Singh JK (1985) Case Report 295: Metastatic disease of the carpus. Skeletal Radiol 13: 154
Handley WS (1906) Cancer of the breast and its operative treatment. John Murray, London, p 32
Healey JH, Turnbull ADM, Miedema B, Lane J (1986) Acrometastases. J Bone Joint Surg [Am] 68: 743
Horn Y (1982) Metastatic iodophilic carcinoma of the thyroid to a hand bone. J Surg Oncol 19: 123
Ioia JV, Sumner JM, Gallagher T (1984) Presentation of malignancy by metastases to the carpal navicular bone. Clin Orthop 188: 230
Kerin R (1958) Metastatic tumours of the hand. J Bone Joint Surg [Am] 40: 263
Kerin R (1983) Metastatic tumors of the hand. J Bone Joint Surg [Am] 65: 1331
Mess D, Sanger M (1986) Head and neck carcinoma: Metastases to the hand and foot. Orthopedics 9: 975
Midell A, Lachman D (1972) An unusual metastatic manifestation of a primary bronchogenic carcinoma. Cancer 30: 806
Morris DM, House HG (1985) The significance of metastases to the bones and soft tissues of the hand. J Surg Oncol 28: 146
Mulvey RB (1964) Peripheral bone metastases. AJR 91: 155
Tae Soo Chung (1983) Metastatic malignancy to the bones of the hand. J Surg Oncol 24: 99
Vaezy A, Budson DC (1978) Phalangeal metastases from bronchogenic carcinoma. JAMA 239: 226
Wu KK, Guise ER (1978) Metastic tumors of the hand: A report of six cases. J Hand Surg 3: 271
Wu KK, Guise ER (1978) Metastatic tumors of the foot. South Med J 71: 807
Zindrich MR, Young MP, Daley RJ, Light TR (1982) Metastatic tumors of the foot. Clin Orthop 170: 219
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Libson, E., Bloom, R.A., Husband, J.E. et al. Metastatic tumours of bones of the hand and foot. Skeletal Radiol 16, 387–392 (1987). https://doi.org/10.1007/BF00350965
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DOI: https://doi.org/10.1007/BF00350965