Acrometastasis as the initial presentation of bronchogenic carcinoma

  • Kamonpun Ussavarungsi pulmonary and critical care medicine at the Mayo Clinic Florida, 4500 San Pablo Road, Jacksonville, FL 32224.
  • Brenda Watkins
  • Michael Phy
Keywords: carcinoma, bronchogenic, neoplasm metastasis, bone neoplasm


Metastasis to the digits occurs infrequently and has a nonspecific clinical presentation.We report a patient who had persistent swelling and ulceration involving his rightthumb nail. He did not have a prior diagnosis of cancer, and this delayed his eventualdiagnosis of non-small cell cancer of the lung with acrometastasis. He was treated withamputation and other palliative measures. Physicians should include acrometastasis inthe differential diagnosis in patients with persistent non-healing digital injuries or ulcers.These patients usually have limited treatment options and a very poor prognosis.


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How to Cite
Ussavarungsi, K., Watkins, B., & Phy, M. (2013). Acrometastasis as the initial presentation of bronchogenic carcinoma. The Southwest Respiratory and Critical Care Chronicles, 1(1), 31-34. Retrieved from