{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,23]],"date-time":"2025-08-23T00:06:52Z","timestamp":1755907612217,"version":"3.44.0"},"reference-count":5,"publisher":"SMC Media","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Acrometastasis, referring to metastases located distal to the elbow and knee, is a rare observation. The most common primary cancer site is the lungs, followed by colorectal, breast and genitourinary tract locations. We present a case of a 54-year-old woman with a 25-pack-year smoking history, chronic obstructive pulmonary disease and squamous cell carcinoma of the lung diagnosed at age 50. Upon physical examination, in the distal phalanx of the fourth finger of the right hand, there was a hypervascularized swelling, purplish and painful. Distal amputation of the fourth finger was performed with pathological anatomy compatible with acrometastasis of primary squamous cell carcinoma of the lung. Clinicians should be aware of this type of metastasis because it is sometimes difficult to distinguish from tuberculous dactylitis and other types of osteomyelitis in patients with undiagnosed cancer. The presence of acrometastasis confers a poor prognosis.<\/jats:p>","DOI":"10.12890\/2022_003207","type":"journal-article","created":{"date-parts":[[2022,3,10]],"date-time":"2022-03-10T04:09:58Z","timestamp":1646885398000},"source":"Crossref","is-referenced-by-count":0,"title":["Swollen Finger \u2013 An Atypical Place for a Metastatic Lesion"],"prefix":"10.12890","volume":"9","author":[{"given":"Maria","family":"Lume","sequence":"additional","affiliation":[{"name":"Internal Medicine Department, Centro Hospitalar e Universit\u00e1rio S\u00e3o Jo\u00e3o, Porto, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marisa","family":"Couto","sequence":"additional","affiliation":[{"name":"Internal Medicine Department, Centro Hospitalar e Universit\u00e1rio S\u00e3o Jo\u00e3o, Porto, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lu\u00eds","family":"Lemos","sequence":"additional","affiliation":[{"name":"Internal Medicine Department, Centro Hospitalar e Universit\u00e1rio S\u00e3o Jo\u00e3o, Porto, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana","family":"Monteiro","sequence":"additional","affiliation":[{"name":"Internal Medicine Department, Centro Hospitalar e Universit\u00e1rio S\u00e3o Jo\u00e3o, Porto, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 Carlos","family":"Martins","sequence":"additional","affiliation":[{"name":"Internal Medicine Department, Centro Hospitalar e Universit\u00e1rio S\u00e3o Jo\u00e3o, Porto, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10397","published-online":{"date-parts":[[2022,3,10]]},"reference":[{"key":"10.12890\/2022_003207_ref1","doi-asserted-by":"crossref","unstructured":"<li>Mavrogenis AF, Mimidis G, Kokkalis ZT, Karampi ES, Karampela I, Papagelopoulos PG, et al. Acrometastases. <em>Eur J Orthop Surg Traumatol<\/em> 2014;<strong>24<\/strong>:279\u2013283.<\/li>","DOI":"10.1007\/s00590-013-1311-1"},{"key":"10.12890\/2022_003207_ref2","doi-asserted-by":"crossref","unstructured":"<li>Kerin R. Metastatic tumors of the hand. J Bone Joint Surg Am 1983;65:1331\u20131335.<\/li>","DOI":"10.2106\/00004623-198365090-00016"},{"key":"10.12890\/2022_003207_ref3","doi-asserted-by":"crossref","unstructured":"<li>Spiteri V, Bibra A, Ashwood N, Cobb J. Managing acrometastases treatment strategy with a case illustration. <em>Ann R Coll Surg Engl<\/em> 2008;<strong>90<\/strong>:8\u201311.<\/li>","DOI":"10.1308\/147870808X303137"},{"key":"10.12890\/2022_003207_ref4","unstructured":"<li>Stomeo D, Tulli A, Ziranu A, Perisano C, De Santis V, Maccauro G. Acrometastasis: a literature review. <em>Eur Rev Med Pharmacol Sci<\/em> 2015;<strong>19<\/strong>:2906\u20132915.<\/li>"},{"key":"10.12890\/2022_003207_ref5","doi-asserted-by":"crossref","unstructured":"<li>Abrahams TG. Occult malignancy presenting as metastatic disease to the hand and wrist. <em>Skeletal Radiol<\/em>1995;<strong>24<\/strong>:135\u2013137.<\/li>","DOI":"10.1007\/BF00198077"}],"container-title":["European Journal of Case Reports in Internal Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/3207\/3048","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/3207\/3049","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/3207\/3049","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,22]],"date-time":"2025-08-22T11:35:31Z","timestamp":1755862531000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/view\/3207"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3,10]]},"references-count":5,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.12890\/2022_003207","relation":{"has-manifestation":[{"id-type":"other","id":"1-83-3207-g3048","asserted-by":"subject"},{"id-type":"other","id":"1-83-3207-g3049","asserted-by":"subject"}],"is-part-of":[{"id-type":"other","id":"1-83","asserted-by":"subject"}]},"ISSN":["2284-2594"],"issn-type":[{"type":"electronic","value":"2284-2594"}],"subject":[],"published":{"date-parts":[[2022,3,10]]},"article-number":"7"}}