Tuberc Respir Dis > Volume 40(1); 1993 > Article
Tuberculosis and Respiratory Diseases 1993;40(1):72-78.
DOI:    Published online February 1, 1993.
A case of lung cancer with metastasis to the right fifth toe.
Hong Lyeol Lee1, Se Kyu Kim1, Hwan Mo Lee2, Dong Hwan Shin3, Jung Hyun Chang1, Seung Min Kwak1, Joon Chang1, Sung Kyu Kim1, Won Young Lee1
1Department of Internal Medicine, College of Medicine, Yonsei University, Seoul, Korea
2Department of orthopedic Surgery, College of Medicine, Yonsei University, Seoul, Korea
3Department of Pathology, College of Medicine, Yonsei University, Seoul, Korea
제 5 우족지의 전이를 동반한 폐암 1 예
In malignancies‘ detection of metastatic foci is of value in making therapeutic plans for treatment of disease and prevention of life-threatening complications. Common sites for metastasis of bronchogenic cancer include lymph nodes, li ver, brain, adrenals and bone. Skull, vertebrae, ribs and long bones are common sites for bone metastasis. But in epidermoid carcinoma, the incidence of bone metastasis is relativel y low and especially to the distal phalangeal bone is rare
We experienced a case of epidermoid carcinoma with the first distant metastasis to the fifth distal phalangeal bone, right toe
The initial stage in the diagnosis of epidermoid carcinoma was T4N3MO. During the third round of anticancer chemotherapy, we recognized the distant metastasis to the fifth distal phalangeal bone for the first time. Localized abnormal findings were noted by bone X-ray and scanning. By a histopathologic examination of the amputated t oe, we confirmed the metastasis of epidrmoid bronchogenic carcinoma
If localized abnormal finding is discovered at an unusual site for metastasis, we recommend physicians to consider the possibility of metastasis even though it is very low.
Key Words: Epidermoid carcinoma, Bone metastasis, Distal phalangeal bone

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