Erifish Journal o/ UroloRy (1978). 50, 280
Case Reports
Metastasis from Renal Carcinoma to a Phalanx of the Hand Metastases from renal carcinoma are rarely found in the hand (Kerin, 1958; Ruggero and Bori, 1955). Uriburu el al. (1976) in a recent review of the literature for tumours metastatic to the hand, found 90 cases and from these only 4 were of renal origin. Case Report A 48-year-old female underwent a hysterectomy in August 1974 for a squamous cell carcinoma of the uterine cervix. She was treated post-operatively with radiation therapy and was discharged in good condition. In August 1975 she presented with gross haematuria. I V P showed a renal tumour and nephrectomy was performed. The histology showed clear cell carcinoma. In January 1976 she complained of swelling in the distal segment of the left ring finger with progressive pain and local redness. X-rays showed an osteolytic lesion of that phalanx (Fig. I). Accordingly, a radical amputation was carried out. Histology showed a secondary clear cell tumour consistent with the renal primary (Fig. 2). The patient died 2 months later of disseminated disease.
Fig. 2
Comment The presentation resembles an infectious condition, as in the case of our patient, and in most reported cases the condition is confused with a felon, osteomyelitis or even tuberculosis (Kerin, 1958). The presence of such a secondary from a renal carcinoma is usually indicative of generalised metastatic disease. Acknowledgement I would like to thank Dr Jose Ribeiro Menezes Netto from Santo Antonio Hospital for the histological diagnosis.
References Kerin, R. (1958). Metastatic tumors of the hand. Journal 01 Bone and Join1 Surgery, 40-A. 263-278. Ruggero, A. and Bori, M. (1955). Rara localizzazione di metastasi ossee rivelatrici di tumore renale. Nuntius Radiologicus. 21, 209-220. Uriburu, 1. G . F., Morchio, F. J. and Marin. J . C. (1976). Metastases of carcinoma of the larynx and thyroid gland to the phalanges of the hand. Report of two cases. Journal of Bone and Joint Surgery, 58-A,134-135.
The Authors Juvenal Antunes de Oliveira Filho,* Eduardo Silveira* and Jose Luiz Cury Marinst, Departments of Internal Medicine* and Radiology?, Campinas State University, Campinas. Fig. I
Sao Paulo, Brazil.
280
Case Reports
Metastasis from Renal Carcinoma to a Phalanx of the Hand Metastases from renal carcinoma are rarely found in the hand (Kerin, 1958; Ruggero and Bori, 1955). Uriburu el al. (1976) in a recent review of the literature for tumours metastatic to the hand, found 90 cases and from these only 4 were of renal origin. Case Report A 48-year-old female underwent a hysterectomy in August 1974 for a squamous cell carcinoma of the uterine cervix. She was treated post-operatively with radiation therapy and was discharged in good condition. In August 1975 she presented with gross haematuria. I V P showed a renal tumour and nephrectomy was performed. The histology showed clear cell carcinoma. In January 1976 she complained of swelling in the distal segment of the left ring finger with progressive pain and local redness. X-rays showed an osteolytic lesion of that phalanx (Fig. I). Accordingly, a radical amputation was carried out. Histology showed a secondary clear cell tumour consistent with the renal primary (Fig. 2). The patient died 2 months later of disseminated disease.
Fig. 2
Comment The presentation resembles an infectious condition, as in the case of our patient, and in most reported cases the condition is confused with a felon, osteomyelitis or even tuberculosis (Kerin, 1958). The presence of such a secondary from a renal carcinoma is usually indicative of generalised metastatic disease. Acknowledgement I would like to thank Dr Jose Ribeiro Menezes Netto from Santo Antonio Hospital for the histological diagnosis.
References Kerin, R. (1958). Metastatic tumors of the hand. Journal 01 Bone and Join1 Surgery, 40-A. 263-278. Ruggero, A. and Bori, M. (1955). Rara localizzazione di metastasi ossee rivelatrici di tumore renale. Nuntius Radiologicus. 21, 209-220. Uriburu, 1. G . F., Morchio, F. J. and Marin. J . C. (1976). Metastases of carcinoma of the larynx and thyroid gland to the phalanges of the hand. Report of two cases. Journal of Bone and Joint Surgery, 58-A,134-135.
The Authors Juvenal Antunes de Oliveira Filho,* Eduardo Silveira* and Jose Luiz Cury Marinst, Departments of Internal Medicine* and Radiology?, Campinas State University, Campinas. Fig. I
Sao Paulo, Brazil.
280
