Acrometastasis to the finger from hepatocellular carcinoma mimicking a glomus tumour: A case report
Background: Acrometastasis refers to the uncommon phenomenon of metastasis occurring to distal part of extremities from different primary malignancies predominantly lungs, breast, and thyroid. Digital acrometastases to fingers as a presentation of hepatocellular carcinoma (HCC) are extremely rare. C...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-08-01
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| Series: | Journal of Orthopaedic Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2773157X25000438 |
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| Summary: | Background: Acrometastasis refers to the uncommon phenomenon of metastasis occurring to distal part of extremities from different primary malignancies predominantly lungs, breast, and thyroid. Digital acrometastases to fingers as a presentation of hepatocellular carcinoma (HCC) are extremely rare. Case presentation: A 70-year-old male patient presented to the orthopaedic casualty with a history of fall and sustained a supracondylar fracture of the humerus which was treated conservatively. Incidentally, the patient was noted to have a swelling of the left ring finger with a history of bleeding. A provisional diagnosis of glomus tumour was made. Imaging studies of the left hand were suggestive of a large glomus tumour/malignant neoplasm with destruction of the underlying phalanx. The lesion over the fingertip was excised and histopathological examination revealed a metastatic tumour which was confirmed to be hepatocellular carcinoma. Conclusions: This case report presents an unusual and rare presentation of HCC and reiterates the need to have a high index of suspicion while treating atypical lesions in the hands. |
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| ISSN: | 2773-157X |