{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T20:05:52Z","timestamp":1792008352558,"version":"4.4.0"},"reference-count":230,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2021,9,9]],"date-time":"2021-09-09T00:00:00Z","timestamp":1631145600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Background and Objectives: The term acrometastases (AM) refers to secondary lesions sited distally to the elbow and knee, representing 0.1% of all bony metastases. By frequency, pulmonary cancer and gastrointestinal and genitourinary tract neoplasms are the most responsible for the reported AM. Improvements in oncologic patient care favor an increase in the incidence of such rare cases. We performed a systematic review of acrometastases to the hand to provide further insight into the management of these fragile patients. We also present a peculiar case of simultaneous acrometastasis to the ring finger and pathological vertebral fracture. Material and Methods: A literature search according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement was conducted using the PubMed, Google Scholar, and Scopus databases in December 2020 on metastasis to the hand and wrist, from 1986 to 2020. MeSH terms included acrometastasis, carpal metastasis, hand metastasis, finger metastasis, phalangeal metastasis, and wrist metastasis. Results: In total, 215 studies reporting the follow-up of 247 patients were analyzed, with a median age of 62 years (range 10\u201391 years). Overall, 162 out of 247 patients were males (65.6%) and 85 were females (34.4%). The median reported follow-up was 5 months (range 0.5\u201339). The median time from primary tumor diagnosis to acrometastasis was 24 months (range 0.7\u2013156). Acrometastases were located at the finger\/phalanx (68.4%), carpal (14.2%), metacarpal (14.2%), or other sites (3.2%). The primary tumors were pulmonary in 91 patients (36.8%). The average interval from primary tumor diagnosis to acrometastasis varied according to the primary tumor type from 2 months (in patients with mesenchymal tumors) to 64.0 months (in patients with breast cancer). Conclusions: Acrometastases usually develop in the late stage of oncologic disease and are associated with short life expectancy. Their occurrence can no longer be considered rare; physicians should thus be updated on their surgical management and their impact on prognosis and survival.<\/jats:p>","DOI":"10.3390\/medicina57090950","type":"journal-article","created":{"date-parts":[[2021,9,9]],"date-time":"2021-09-09T21:36:58Z","timestamp":1631223418000},"page":"950","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":27,"title":["Acrometastases to the Hand: A Systematic Review"],"prefix":"10.3390","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1573-431X","authenticated-orcid":false,"given":"Giuseppe Emmanuele","family":"Umana","sequence":"first","affiliation":[{"name":"Trauma Center, Gamma Knife Center, Department of Neurosurgery, Cannizzaro Hospital, 95126 Catania, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9465-2506","authenticated-orcid":false,"given":"Gianluca","family":"Scalia","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Highly Specialized Hospital and of National Importance \u201cGaribaldi\u201d, 95122 Catania, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0711-3975","authenticated-orcid":false,"given":"Paolo","family":"Palmisciano","sequence":"additional","affiliation":[{"name":"Trauma Center, Gamma Knife Center, Department of Neurosurgery, Cannizzaro Hospital, 95126 Catania, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maurizio","family":"Passanisi","sequence":"additional","affiliation":[{"name":"Trauma Center, Gamma Knife Center, Department of Neurosurgery, Cannizzaro Hospital, 95126 Catania, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7167-7594","authenticated-orcid":false,"given":"Valerio","family":"Da Ros","sequence":"additional","affiliation":[{"name":"Department of Biomedicine and Prevention, University Hospital of Rome \u201cTor Vergata\u201d, 00133 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gianluca","family":"Pompili","sequence":"additional","affiliation":[{"name":"Plastic Surgery Unit, Cannizzaro Hospital, 95126 Catania, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabio","family":"Barone","sequence":"additional","affiliation":[{"name":"Trauma Center, Gamma Knife Center, Department of Neurosurgery, Cannizzaro Hospital, 95126 Catania, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paolo","family":"Amico","sequence":"additional","affiliation":[{"name":"Department of Pathological Anatomy, Cannizzaro Hospital, 95126 Catania, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Santino Ottavio","family":"Tomasi","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Christian Doppler Klinik Paracelsus Medical University, 5020 Salzburg, Austria"},{"name":"Laboratory for Microsurgical Neuroanatomy, Christian Doppler Klinik, 5020 Salzburg, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesca","family":"Graziano","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Highly Specialized Hospital and of National Importance \u201cGaribaldi\u201d, 95122 Catania, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iolanda Valeria","family":"Patti","sequence":"additional","affiliation":[{"name":"Medical Physics Unit, Cannizzaro Hospital, 95126 Catania, Italy"},{"name":"INFN-Laboratori Nazionali del Sud, Via S. Sofia 62, 95123 Catania, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefania","family":"Mele","sequence":"additional","affiliation":[{"name":"Medical Physics Unit, Cannizzaro Hospital, 95126 Catania, Italy"},{"name":"INFN-Laboratori Nazionali del Sud, Via S. Sofia 62, 95123 Catania, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosario","family":"Maugeri","sequence":"additional","affiliation":[{"name":"Post-Graduate Residency Programme in Neurological Surgery, Department of Experimental Biomedicine and Clinical Neurosciences, School of Medicine, Neurosurgical Clinic, AOUP \u201cPaolo Giaccone\u201d, 90127 Palermo, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8623-4964","authenticated-orcid":false,"given":"Giovanni","family":"Raffa","sequence":"additional","affiliation":[{"name":"BIOMORF Department, Division of Neurosurgery, University of Messina, 98124 Messina, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe Roberto","family":"Giammalva","sequence":"additional","affiliation":[{"name":"Post-Graduate Residency Programme in Neurological Surgery, Department of Experimental Biomedicine and Clinical Neurosciences, School of Medicine, Neurosurgical Clinic, AOUP \u201cPaolo Giaccone\u201d, 90127 Palermo, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerardo Domenico","family":"Iacopino","sequence":"additional","affiliation":[{"name":"Post-Graduate Residency Programme in Neurological Surgery, Department of Experimental Biomedicine and Clinical Neurosciences, School of Medicine, Neurosurgical Clinic, AOUP \u201cPaolo Giaccone\u201d, 90127 Palermo, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonino","family":"German\u00f2","sequence":"additional","affiliation":[{"name":"BIOMORF Department, Division of Neurosurgery, University of Messina, 98124 Messina, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni Federico","family":"Nicoletti","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Highly Specialized Hospital and of National Importance \u201cGaribaldi\u201d, 95122 Catania, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Massimo","family":"Ippolito","sequence":"additional","affiliation":[{"name":"Department of Advanced Technologies, Nuclear Medicine and PET Cannizzaro Hospital, 95126 Catania, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Gabriella","family":"Sabini","sequence":"additional","affiliation":[{"name":"Medical Physics Unit, Cannizzaro Hospital, 95126 Catania, Italy"},{"name":"INFN-Laboratori Nazionali del Sud, Via S. Sofia 62, 95123 Catania, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salvatore","family":"Cicero","sequence":"additional","affiliation":[{"name":"Trauma Center, Gamma Knife Center, Department of Neurosurgery, Cannizzaro Hospital, 95126 Catania, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4293-2298","authenticated-orcid":false,"given":"Lidia","family":"Strigari","sequence":"additional","affiliation":[{"name":"Department of Medical Physics, IRCCS University Hospital of Bologna, 40138 Bologna, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9534-4855","authenticated-orcid":false,"given":"Giacomo","family":"Cuttone","sequence":"additional","affiliation":[{"name":"INFN-Laboratori Nazionali del Sud, Via S. Sofia 62, 95123 Catania, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2021,9,9]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1007\/s00590-013-1311-1","article-title":"Acrometastases","volume":"24","author":"Mavrogenis","year":"2014","journal-title":"Eur. J. Orthop. Surg. Traumatol."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1331","DOI":"10.2106\/00004623-198365090-00016","article-title":"Metastatic tumors of the hand. A review of the literature","volume":"65","author":"Kerin","year":"1983","journal-title":"J. Bone Jt. Surg. Am."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1308\/147870808X303137","article-title":"Managing acrometastases treatment strategy with a case illustration","volume":"90","author":"Spiteri","year":"2008","journal-title":"Ann. R. Coll. Surg. Engl."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1007\/BF00198077","article-title":"Occult malignancy presenting as metastatic disease to the hand and wrist","volume":"24","author":"Abrahams","year":"1995","journal-title":"Skeletal Radiol."},{"key":"ref_5","first-page":"2906","article-title":"Acrometastasis: A literature review","volume":"19","author":"Stomeo","year":"2015","journal-title":"Eur. Rev. Med. Pharmacol. Sci."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"805","DOI":"10.1111\/j.1742-1241.1987.tb08129.x","article-title":"Metastatic carcinoma in the hand presenting as an acute paronychia","volume":"41","author":"Henderson","year":"1987","journal-title":"Br. J. Clin. Pract."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"938","DOI":"10.1046\/j.1365-2133.1999.03181.x","article-title":"An acral \u201cinflammatory\u201d cutaneous metastasis of oesophageal carcinoma","volume":"141","author":"Yasaka","year":"1999","journal-title":"Br. J. Dermatol."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"636","DOI":"10.1016\/S0140-6736(01)05781-6","article-title":"A swollen finger and abdominal pain","volume":"358","author":"Henderson","year":"2001","journal-title":"Lancet"},{"key":"ref_9","first-page":"105","article-title":"Photo quiz A swollen, draining thumb","volume":"65","author":"Parungao","year":"2002","journal-title":"Am. Fam. Physician"},{"key":"ref_10","first-page":"1832","article-title":"Diagnostic image (107). A man with weight loss and skin nodes","volume":"146","author":"Theunissen","year":"2002","journal-title":"Ned. Tijdschr. Geneeskd."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"555","DOI":"10.1016\/S0001-7310(03)76744-1","article-title":"Met\u00e1stasis acral digital \u00f3sea por adenocarcinoma renal con afectaci\u00f3n cut\u00e1nea","volume":"94","author":"Blanes","year":"2003","journal-title":"Actas Dermosifiliogr."},{"key":"ref_12","first-page":"199","article-title":"A patient of esophageal carcinoma presenting with fever and multiple nodules on fingers","volume":"22","author":"Chou","year":"2004","journal-title":"Dermatol. Sin."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"1035","DOI":"10.3928\/01477447-20061101-11","article-title":"Rapid progression of metastatic bronchogenic carcinoma after felon drainage","volume":"29","author":"Gawley","year":"2006","journal-title":"Orthopedics"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1007\/s10067-005-1096-7","article-title":"Acute arthritis of carpal bones secondary to metastatic gastric cancer","volume":"25","author":"Park","year":"2006","journal-title":"Clin. Rheumatol."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1177\/1753193408089528","article-title":"Re: Metastatic oesophageal carcinoma presenting in a finger","volume":"33","author":"Kanatani","year":"2008","journal-title":"J. Hand Surg."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"597","DOI":"10.1177\/1753193409360605","article-title":"Metastases to the finger masquerading as flexor tenosynovitis","volume":"35","author":"Anandan","year":"2010","journal-title":"J. Hand Surg."},{"key":"ref_17","first-page":"85","article-title":"Misinterpretation of a metastatic process within the scope of Sudeck\u2019s dystrophy. A case report","volume":"19","author":"Sim","year":"1989","journal-title":"Aktuelle Traumatol."},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Bowles, F., and Wells, H. (2011). Paronychia: Not always what it seems. Emerg. Med. J., 28.","DOI":"10.1136\/emj.2008.070706"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1007\/s12593-010-0022-7","article-title":"Digital Metastasis Presenting as Infection","volume":"3","author":"Kontogeorgakos","year":"2016","journal-title":"J. Hand Microsurg."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"75","DOI":"10.5704\/MOJ.1103.018","article-title":"Metastatic adenocarcinoma to the wrist presenting as carpal tunnel syndrome: A report of an unusual case","volume":"5","author":"Roohi","year":"2011","journal-title":"Malaysian Orthop. J."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1590\/S0365-05962011000300016","article-title":"Rare cutaneous metastasis from a probable basaloid carcinoma of the colon mimicking pyogenic granuloma","volume":"86","author":"Verardino","year":"2011","journal-title":"An. Bras. Dermatol."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"48","DOI":"10.4103\/2277-9175.100155","article-title":"Occult renal cell carcinoma with acrometastasis and ipsilateral juxta-articular knee lesions mimicking acute inflammation","volume":"1","author":"Borgohain","year":"2012","journal-title":"Adv. Biomed. Res."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1016\/j.main.2012.07.008","article-title":"M\u00e9tastase cutan\u00e9e d\u2019un cancer pulmonaire simulant une maladie de Dupuytren","volume":"31","author":"Ragois","year":"2012","journal-title":"Chir. Main"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1159\/000506444","article-title":"A Painful Finger: An Unusual Presentation of Von Hippel-Lindau-Associated Advanced Renal Cell Carcinoma","volume":"13","author":"Ho","year":"2020","journal-title":"Case Rep. Oncol."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"737","DOI":"10.1111\/j.1742-1241.1990.tb10189.x","article-title":"A case of tumour simulating pulp space infection","volume":"44","author":"Farouk","year":"1990","journal-title":"Br. J. Clin. Pract."},{"key":"ref_26","first-page":"55","article-title":"Metastasis of small-cell lung cancer to the bone of the finger simulating osseous paronychia","volume":"147","author":"Kolomiets","year":"1991","journal-title":"Vestn. Khir. Im. I. I. Grek."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1111\/j.1365-2230.1992.tb00263.x","article-title":"Distal phalangeal metastasis of a chondrosarcoma presenting initially as bilateral onycholysis","volume":"17","author":"Lambert","year":"1992","journal-title":"Clin. Exp. Dermatol."},{"key":"ref_28","first-page":"66","article-title":"Acrometastasis of the hand presenting as a whitlow. General review apropos of a case","volume":"79","author":"Moens","year":"1993","journal-title":"Rev. Chir. Orthop. Reparatrice Appar. Mot."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1097\/00124743-199706000-00012","article-title":"Finger Metastasis Mimicking Osteomyelitis Case Report and Review of Literature","volume":"3","author":"Javed","year":"1997","journal-title":"JCR J. Clin. Rheumatol."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"545","DOI":"10.1016\/S0363-5023(05)80477-0","article-title":"Chronic lymphocytic leukemia presenting as pyogenic arthritis of the proximal interphalangeal joint","volume":"23","author":"Chin","year":"1998","journal-title":"J. Hand Surg. Am."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"256","DOI":"10.1111\/j.1346-8138.1998.tb02392.x","article-title":"Metastasis of Esophageal Carcinoma Manifesting as Whitlow-like Lesions","volume":"25","author":"Umebayashi","year":"1998","journal-title":"J. Dermatol."},{"key":"ref_32","doi-asserted-by":"crossref","unstructured":"Page, M.J., McKenzie, J.E., Bossuyt, P.M., Boutron, I., Hoffmann, T.C., Mulrow, C.D., Shamseer, L., Tetzlaff, J.M., Akl, E.A., and Brennan, S.E. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ, 372.","DOI":"10.1136\/bmj.n71"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1016\/S1297-3203(00)73461-5","article-title":"Tumeurs m\u00e9tastatiques des parties molles des doigts. \u00c0 propos de six cas","volume":"19","author":"Filloux","year":"2000","journal-title":"Chir. Main"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"557","DOI":"10.1097\/00003072-200007000-00018","article-title":"An Isolated Digital Metastasis of Esophageal Basaloid Squamous Cell Carcinoma","volume":"25","author":"Houston","year":"2000","journal-title":"Clin. Nucl. Med."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"666","DOI":"10.3349\/ymj.2000.41.5.666","article-title":"Squamous cell lung cancer with solitary subungual metastasis","volume":"41","author":"Ryu","year":"2000","journal-title":"Yonsei Med. J."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1142\/S0218810400000156","article-title":"Metastatic malignant melanoma in the hand muscle\u2014A case report","volume":"5","author":"Tochigi","year":"2000","journal-title":"Hand Surg."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"380","DOI":"10.1046\/j.1440-1673.2001.00943.x","article-title":"Carcinoma breast metastatic to the hand and the foot","volume":"45","author":"Asthana","year":"2001","journal-title":"Australas. Radiol."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"352","DOI":"10.1097\/00003072-200104000-00020","article-title":"Isolated Carpal Bone Metastases from Bronchogenic Cancer Evident on Bone Scintigraphy","volume":"26","author":"Caglar","year":"2001","journal-title":"Clin. Nucl. Med."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1142\/S0218810401000515","article-title":"Metastasis of an adenocarcinoma of the stomach to the 4th metacarpal bone","volume":"6","author":"Chang","year":"2001","journal-title":"Hand Surg."},{"key":"ref_40","first-page":"253","article-title":"An unusual cutaneous metastasis from hepatocellular carcinoma","volume":"64","author":"Fang","year":"2001","journal-title":"Zhonghua Yi Xue Za Zhi"},{"key":"ref_41","first-page":"38","article-title":"Subungual and ocular metastases from small cell carcinoma of the lung","volume":"37","author":"Mehta","year":"2001","journal-title":"Hosp. Physician"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1097\/00000637-200102000-00019","article-title":"The Digital Pulp as a Presenting Site of Metastatic Esophageal Carcinoma","volume":"46","author":"Silfen","year":"2001","journal-title":"Ann. Plast. Surg."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1590\/S0041-87812002000600007","article-title":"Thumb metastasis from small cell lung cancer treated with radiation","volume":"57","author":"Carvalho","year":"2002","journal-title":"Rev. Hosp. Clin. Fac. Med. Sao. Paulo."},{"key":"ref_44","first-page":"297","article-title":"Acrometastasis of the hand. Case report","volume":"68","author":"Raissouni","year":"2002","journal-title":"Acta Orthop. Belg."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"530","DOI":"10.1007\/s00402-002-0399-2","article-title":"Phalangeal metastasis secondary to an occult breast carcinoma","volume":"122","author":"Vadivelu","year":"2002","journal-title":"Arch. Orthop. Trauma Surg."},{"key":"ref_46","doi-asserted-by":"crossref","unstructured":"Aguiar Bujanda, D., Bohn Sarmiento, U., and Aguiar Morales, J. (2003). Some Unusual Paraneoplastic Syndromes. J. Clin. Oncol., 21.","DOI":"10.1200\/JCO.2003.06.074"},{"key":"ref_47","first-page":"37","article-title":"Carcinoma of esophagus with unusual metastasis to gingiva and phalanx","volume":"40","author":"Dimri","year":"2003","journal-title":"Indian J. Cancer"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1016\/S0090-4295(03)00043-8","article-title":"Hand metastasis in renal cell carcinoma","volume":"62","author":"Fusetti","year":"2003","journal-title":"Urology"},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1016\/S0363-5023(03)80348-9","article-title":"Colon cancer metastasizing to the proximal phalanx of an index finger\u2014A case report","volume":"28","author":"Oron","year":"2003","journal-title":"J. Hand Surg."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1007\/s00520-003-0574-1","article-title":"Palliative surgery of acrometastases from lung cancer: A case report","volume":"12","author":"Campa","year":"2004","journal-title":"Support. Care Cancer"},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1080\/00015458.2004.11679570","article-title":"Late Appearance and Slow Progression of a Breast Carcinoma Metastasis of the Index Metacarpal","volume":"104","year":"2004","journal-title":"Acta Chir. Belg."},{"key":"ref_52","first-page":"447","article-title":"An atypical bone metastasis of hepatocellular carcinoma: Case report and review of the literature","volume":"155","author":"Fontana","year":"2004","journal-title":"Clin. Ter."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"76","DOI":"10.4065\/79.1.76","article-title":"Renal Cell Carcinoma with Acrometastasis and Scalp Metastasis","volume":"79","author":"Riter","year":"2004","journal-title":"Mayo Clin. Proc."},{"key":"ref_54","first-page":"378","article-title":"Distal phalanx metastasis in operated bronchial carcinoma","volume":"52","author":"Sahbaz","year":"2004","journal-title":"Tuberk. Toraks"},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1080\/02844310510006394","article-title":"Extensive metastasis to the hand from undiagnosed adenocarcinoma of the lung","volume":"39","author":"Keramidas","year":"2005","journal-title":"Scand. J. Plast. Reconstr. Surg. Hand Surg."},{"key":"ref_56","first-page":"319","article-title":"Metastasis of esophageal cancer to finger","volume":"8","author":"Mousavi","year":"2005","journal-title":"Arch. Iran. Med."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1111\/j.1365-4632.2004.02022.x","article-title":"Metastasis of lung cancer to the finger: A report of two cases","volume":"44","author":"Nakamura","year":"2005","journal-title":"Int. J. Dermatol."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"362","DOI":"10.1016\/j.ejrad.2005.06.007","article-title":"Malignant melanoma with metastasis into the capitate","volume":"56","author":"Tomas","year":"2005","journal-title":"Eur. J. Radiol."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1016\/j.main.2006.03.002","article-title":"Acrom\u00e9tastase du pouce r\u00e9v\u00e9lant un ad\u00e9nocarcinome pulmonaire: \u00c0 propos d\u2019un cas avec revue de la litt\u00e9rature","volume":"25","author":"Akjouj","year":"2006","journal-title":"Chir. Main"},{"key":"ref_60","first-page":"200","article-title":"Acrometastasis in a case with bronchial carcinoma","volume":"7","year":"2006","journal-title":"Toraks. Dergisi."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1016\/j.breast.2005.04.006","article-title":"Breast carcinoma bone metastasis first presenting to single middle phalanx","volume":"15","author":"Carty","year":"2006","journal-title":"Breast"},{"key":"ref_62","first-page":"592","article-title":"Subungual Metastasis from a Rectal Primary: Case Report and Review of the Literature","volume":"32","author":"Gallagher","year":"2006","journal-title":"Dermatologic Surg."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1177\/000313480607200125","article-title":"Metastatic colon cancer to the hand","volume":"72","author":"Gamblin","year":"2006","journal-title":"Am. Surg."},{"key":"ref_64","first-page":"173","article-title":"Lung carcinoma metastasis to the distal part of the index finger: A case report","volume":"1","author":"Heidarpour","year":"2006","journal-title":"Iran J. Pathol."},{"key":"ref_65","first-page":"39","article-title":"Acromet\u00e1stasis. A prop\u00f3sito de dos Casos","volume":"41","year":"2006","journal-title":"Rev. Esp. Cir. Osteoartic."},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1016\/j.jhsa.2007.01.001","article-title":"A Rare Metastasis in the Hand: A Case of Cutaneous Metastasis of Choriocarcinoma to the Small Finger","volume":"32","author":"Afshar","year":"2007","journal-title":"J. Hand Surg. Am."},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1016\/j.main.2007.09.001","article-title":"Acrom\u00e9tastase r\u00e9v\u00e9l\u00e9e par une douleur isol\u00e9e de la main. \u00c0 propos d\u2019un cas","volume":"26","author":"Bigot","year":"2007","journal-title":"Chir. Main"},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"1243","DOI":"10.1302\/0301-620X.89B9.19186","article-title":"Metastasis of squamous-cell carcinoma of the lung to the first web space of the hand","volume":"89-B","author":"Elhassan","year":"2007","journal-title":"J. Bone Joint Surg. Br."},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1016\/j.jhsa.2006.10.022","article-title":"Extensive Cutaneous Metastatic Breast Carcinoma of the Hand and Upper Extremity: A Case Report","volume":"32","author":"French","year":"2007","journal-title":"J. Hand Surg. Am."},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1097\/SMJ.0b013e31802e465c","article-title":"Malignant Pleural Mesothelioma with Scalp, Cerebellar, and Finger Metastases: A Rare Case","volume":"100","author":"Kanbay","year":"2007","journal-title":"South. Med. J."},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"97","DOI":"10.2298\/AOO0704097N","article-title":"Thumb metastases in a patient with colorectal cancer","volume":"15","author":"Nikolic","year":"2007","journal-title":"Arch. Oncol."},{"key":"ref_72","first-page":"282","article-title":"Atypical presentation of lung cancer","volume":"32","author":"Preto","year":"2007","journal-title":"Acta Reumatol. Port."},{"key":"ref_73","doi-asserted-by":"crossref","first-page":"332","DOI":"10.1080\/02844310600723067","article-title":"Multiple subungual soft tissue metastases from a chondrosarcoma","volume":"41","author":"Ramseier","year":"2007","journal-title":"Scand. J. Plast. Reconstr. Surg. Hand Surg."},{"key":"ref_74","first-page":"595","article-title":"Bone of the hands as unusual metastastatic site of renal cell carcinoma","volume":"26","author":"Salesi","year":"2007","journal-title":"J. Exp. Clin. Cancer Res."},{"key":"ref_75","first-page":"267","article-title":"Unusual locations for metastatic malignancy of the hand: A report of three cases","volume":"17","author":"Ahlmann","year":"2008","journal-title":"J. Surg. Orthop. Adv."},{"key":"ref_76","doi-asserted-by":"crossref","first-page":"181","DOI":"10.2165\/00128071-200809030-00007","article-title":"Metastasis of Mediastinal Epithelioid Angiosarcoma to the Finger","volume":"9","author":"Chen","year":"2008","journal-title":"Am. J. Clin. Dermatol."},{"key":"ref_77","first-page":"E144","article-title":"Isolated metastatic lesion of the trapezium","volume":"37","author":"Gaston","year":"2008","journal-title":"Am. J. Orthop."},{"key":"ref_78","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1142\/S0218810408004079","article-title":"Metastasis of gastric cancer to the fifth metacarpal bone","volume":"13","author":"Miyamoto","year":"2008","journal-title":"Hand Surg."},{"key":"ref_79","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1016\/j.main.2008.08.007","article-title":"Double localisation m\u00e9tastatique d\u2019un carcinome \u00e9pidermo\u00efde au niveau de la pulpe digitale. \u00c0 propos d\u2019un cas et revue de la litt\u00e9rature","volume":"27","author":"Ottomani","year":"2008","journal-title":"Chir. Main"},{"key":"ref_80","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1016\/j.main.2008.07.003","article-title":"Digital metastatis of a nasopharyngeal carcinoma: A surgical trap","volume":"27","author":"Plotkine","year":"2008","journal-title":"Chir. Main"},{"key":"ref_81","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1007\/s11552-007-9053-3","article-title":"First Presentation of Lung Adenocarcinoma as a Subungual Metastasis","volume":"3","author":"Seth","year":"2008","journal-title":"HAND"},{"key":"ref_82","doi-asserted-by":"crossref","first-page":"284","DOI":"10.1186\/1757-1626-1-284","article-title":"Metastasis of bronchogenic carcinoma to the 5th metacarpal bone: A case report","volume":"1","author":"Tzaveas","year":"2008","journal-title":"Cases J."},{"key":"ref_83","doi-asserted-by":"crossref","first-page":"149","DOI":"10.4103\/0971-5851.65343","article-title":"Cancer lung: An unusual presentation","volume":"30","author":"Jakhar","year":"2009","journal-title":"Indian J. Med. Paediatr. Oncol."},{"key":"ref_84","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1159\/000203347","article-title":"Metacarpal Bone Metastasis from Lung Cancer","volume":"32","author":"Kodama","year":"2009","journal-title":"Oncol. Res. Treat."},{"key":"ref_85","doi-asserted-by":"crossref","first-page":"e365","DOI":"10.1016\/j.bjps.2008.01.030","article-title":"Digital acrometastasis: A rare initial sign of occult pulmonary squamous cell carcinoma","volume":"62","author":"Madjidi","year":"2009","journal-title":"J. Plast. Reconstr. Aesthetic Surg."},{"key":"ref_86","doi-asserted-by":"crossref","first-page":"632","DOI":"10.1016\/S1569-9056(09)74955-3","article-title":"Renal cell carcinoma metastasis to hand: Rare localisations of solitary metastases","volume":"8","author":"Mitrovic","year":"2009","journal-title":"Eur. Urol."},{"key":"ref_87","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1007\/s10147-008-0806-y","article-title":"An atypical extrahepatic metastasis of the distal phalanx from hepatocellular carcinoma","volume":"14","author":"Otsuji","year":"2009","journal-title":"Int. J. Clin. Oncol."},{"key":"ref_88","doi-asserted-by":"crossref","first-page":"1709","DOI":"10.1016\/j.jhsa.2009.06.012","article-title":"Spread of Squamous Cell Carcinoma From the Thumb to the Small Finger via the Flexor Tendon Sheaths","volume":"34","author":"Rauh","year":"2009","journal-title":"J. Hand Surg. Am."},{"key":"ref_89","doi-asserted-by":"crossref","first-page":"496","DOI":"10.4103\/0970-9290.59452","article-title":"Phalange metastasis from carcinoma of alveolus","volume":"20","author":"Shrivastava","year":"2009","journal-title":"Indian J. Dent. Res."},{"key":"ref_90","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1016\/j.main.2009.08.012","article-title":"Une cause rare de pseudohippocratisme digital: L\u2019acrom\u00e9tastase. \u00c0 propos d\u2019un cas","volume":"28","author":"Wavreille","year":"2009","journal-title":"Chir. Main"},{"key":"ref_91","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1177\/1753193409103924","article-title":"Leukaemia cutis of the distal phalanx of the right thumb","volume":"35","author":"Afshar","year":"2010","journal-title":"J. Hand Surg."},{"key":"ref_92","doi-asserted-by":"crossref","first-page":"e61","DOI":"10.1016\/j.amjsurg.2010.02.016","article-title":"Metastatic phalangeal osteolysis as an initial presentation of carcinoma colon","volume":"200","author":"Anoop","year":"2010","journal-title":"Am. J. Surg."},{"key":"ref_93","doi-asserted-by":"crossref","first-page":"846","DOI":"10.1016\/j.urology.2009.11.035","article-title":"Hand Metastasis From Renal Carcinoma","volume":"76","year":"2010","journal-title":"Urology"},{"key":"ref_94","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1016\/j.main.2009.08.008","article-title":"Acrom\u00e9tastases de la main et du pied compliquant un cancer mammaire","volume":"29","author":"Biyi","year":"2010","journal-title":"Chir. Main"},{"key":"ref_95","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1016\/j.ciresp.2009.08.004","article-title":"Met\u00e1stasis en mano de adenocarcinoma de recto. Un caso excepcional","volume":"88","year":"2010","journal-title":"Cirug\u00eda Espa\u00f1ola"},{"key":"ref_96","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1007\/s12070-010-0031-7","article-title":"Study of papillary carcinoma of thyroid with uncommon sites of metastasis","volume":"62","author":"Chakravarthy","year":"2010","journal-title":"Indian J. Otolaryngol. Head Neck Surg."},{"key":"ref_97","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2010\/234289","article-title":"Lung Cancer Presenting as Acrometastasis to the Finger: A Case Report","volume":"2010","author":"Long","year":"2010","journal-title":"Case Rep. Med."},{"key":"ref_98","first-page":"609","article-title":"Metastases to rare locations as the initial manifestation of non-small cell lung cancer: Two case reports","volume":"34","author":"Silconi","year":"2010","journal-title":"Coll. Antropol."},{"key":"ref_99","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1016\/j.arbres.2009.11.008","article-title":"Acromet\u00e1stasis por c\u00e1ncer de pulm\u00f3n. A prop\u00f3sito de un caso","volume":"46","author":"Lucilli","year":"2010","journal-title":"Arch. Bronconeumol."},{"key":"ref_100","first-page":"bcr0520091912","article-title":"Rapidly progressive bone destruction of the finger as first presentation of systemic metastases from lung cancer","volume":"2010","author":"Myrehaug","year":"2010","journal-title":"Case Rep."},{"key":"ref_101","doi-asserted-by":"crossref","first-page":"719","DOI":"10.2298\/MPNS1010719V","article-title":"Osteolysis of hand bones due to metastatic deposits from colon cancer: A case report","volume":"63","author":"Vasic","year":"2010","journal-title":"Med. Pregl."},{"key":"ref_102","first-page":"283","article-title":"Metastatic esophageal adenocarcinoma of the carpus","volume":"39","author":"Wurapa","year":"2010","journal-title":"Am. J. Orthop."},{"key":"ref_103","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1016\/j.main.2011.01.003","article-title":"Tumeur g\u00e9ante du pouce r\u00e9v\u00e9lant un ad\u00e9nocarcinome pulmonaire (\u00e0 propos d\u2019un cas)","volume":"30","author":"Amar","year":"2011","journal-title":"Chir. Main"},{"key":"ref_104","doi-asserted-by":"crossref","first-page":"229","DOI":"10.4318\/tjg.2011.0202","article-title":"Metastasis of rectal cancer to soft tissue of the hand: An unusual case","volume":"22","author":"Yildiz","year":"2011","journal-title":"Turk. J. Gastroenterol."},{"key":"ref_105","first-page":"209","article-title":"The acromet","volume":"3","author":"Chao","year":"2011","journal-title":"J. Thorac. Dis."},{"key":"ref_106","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1007\/s11552-011-9333-9","article-title":"Metastasis of parotid basal cell adenocarcinoma to the hand-a case report","volume":"6","author":"Elvey","year":"2011","journal-title":"Hand"},{"key":"ref_107","first-page":"735789","article-title":"An atypical metastasis of follicular-type adenocarcinoma of the thyroid gland to thumb","volume":"2011","author":"Huri","year":"2011","journal-title":"Case Rep. Orthop."},{"key":"ref_108","first-page":"1","article-title":"Composite bone cement arthrodesis in acrometastasis of the proximal phalanx of the hand\u2014A case report","volume":"19","author":"Jenzer","year":"2011","journal-title":"J. Orthop. Surg."},{"key":"ref_109","doi-asserted-by":"crossref","first-page":"241","DOI":"10.4103\/0973-1075.92347","article-title":"Palliative and supportive care in acrometastasis to the hand: Case series","volume":"17","author":"Kumar","year":"2011","journal-title":"Indian J. Palliat. Care"},{"key":"ref_110","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1016\/j.main.2011.01.005","article-title":"Bladder urothelial carcinoma with acrometastasis: A case report and review of the literature","volume":"30","author":"Taleb","year":"2011","journal-title":"Chir. Main"},{"key":"ref_111","first-page":"e42","article-title":"A single metastasis in the carpal bones as the first clinical manifestation of a hepatocellular carcinoma","volume":"56","year":"2014","journal-title":"Radiologia"},{"key":"ref_112","first-page":"59","article-title":"Isolated metacarpal bone metastasis from advanced rectosigmoid carcinoma","volume":"11","author":"Fadli","year":"2012","journal-title":"Int. J. Malaysia."},{"key":"ref_113","doi-asserted-by":"crossref","first-page":"567A","DOI":"10.1378\/chest.1390463","article-title":"Metastatic lung adenocarcinoma presenting as thumb pain","volume":"142","author":"Ferraro","year":"2012","journal-title":"Chest"},{"key":"ref_114","doi-asserted-by":"crossref","first-page":"404","DOI":"10.1159\/000340011","article-title":"Acrometastasis as the Initial Presentation of a KRAS -Positive Colon Cancer","volume":"5","author":"Gharwan","year":"2012","journal-title":"Case Rep. Oncol."},{"key":"ref_115","doi-asserted-by":"crossref","first-page":"412","DOI":"10.1016\/j.ijscr.2012.05.005","article-title":"Palmar metastasis of an adenocarcinoma of the esophago-gastric-junction: First case report","volume":"3","author":"Kamolz","year":"2012","journal-title":"Int. J. Surg. Case Rep."},{"key":"ref_116","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1142\/S0218810412720148","article-title":"Finger skin metastasis from hepatocellular carcinoma: A case report","volume":"17","author":"Kim","year":"2012","journal-title":"Hand Surg."},{"key":"ref_117","doi-asserted-by":"crossref","first-page":"3167","DOI":"10.1002\/art.34603","article-title":"Digital acrometastasis revealing endometrial cancer relapse","volume":"64","author":"Ornetti","year":"2012","journal-title":"Arthritis Rheum."},{"key":"ref_118","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1258\/smj.2012.012110","article-title":"Digital acrometastases as first sign of hepatocellular carcinoma","volume":"57","author":"Rauf","year":"2012","journal-title":"Scott. Med. J."},{"key":"ref_119","doi-asserted-by":"crossref","first-page":"384","DOI":"10.1186\/1752-1947-6-384","article-title":"Lung cancer presenting as a metastasis to the carpal bones: A case report","volume":"6","author":"Rinonapoli","year":"2012","journal-title":"J. Med. Case Rep."},{"key":"ref_120","doi-asserted-by":"crossref","first-page":"286","DOI":"10.1177\/1753193411433229","article-title":"Lymphoma presenting as a metastasis to the hand","volume":"37","author":"Roushdi","year":"2012","journal-title":"J. Hand Surg. Eur. Vol."},{"key":"ref_121","doi-asserted-by":"crossref","first-page":"1111","DOI":"10.1016\/j.bjps.2012.01.019","article-title":"Palliative surgery for skeletal metastases from melanoma in the scaphoid--a critical case report appraisal","volume":"65","author":"Stahl","year":"2012","journal-title":"J. Plast. Reconstr. Aesthet. Surg."},{"key":"ref_122","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1007\/s11552-012-9393-5","article-title":"Hand metastasis: An unusual presentation of renal cell carcinoma","volume":"7","author":"Tan","year":"2012","journal-title":"Hand"},{"key":"ref_123","first-page":"100","article-title":"A thumb acrometastasis revealing lung adenocarcinoma: A case report and review","volume":"3","author":"Khmamouche","year":"2013","journal-title":"J. Clin. Case Rep."},{"key":"ref_124","doi-asserted-by":"crossref","first-page":"36","DOI":"10.4103\/0973-0354.105848","article-title":"Metastatic iodophilic follicular carcinoma of thyroid to a hand bone","volume":"10","author":"Krishnamurthy","year":"2013","journal-title":"Thyroid. Res. Pr."},{"key":"ref_125","first-page":"129","article-title":"A case of bladder cancer with metastasis to the bone of the hand","volume":"59","author":"Yoneda","year":"2013","journal-title":"Hinyokika Kiyo."},{"key":"ref_126","first-page":"550","article-title":"Acrometastasis showing an occult lung cancer","volume":"47","author":"Gilardi","year":"2013","journal-title":"J. Plast. Surg. Hand Surg."},{"key":"ref_127","doi-asserted-by":"crossref","first-page":"e83","DOI":"10.1097\/GOX.0000000000000021","article-title":"Metastasis of hepatocellular and renal cell carcinoma to the hand","volume":"1","author":"Rommer","year":"2013","journal-title":"Plast. Reconstr. Surgery. Glob. Open"},{"key":"ref_128","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1177\/2151458514522125","article-title":"A painful finger as first sign of a malignancy","volume":"5","year":"2014","journal-title":"Geriatr. Orthop. Surg. Rehabil."},{"key":"ref_129","first-page":"149","article-title":"Renal Clear Cell Carcinoma Acrometastasis. An Unusual Terminal Condition","volume":"7","year":"2015","journal-title":"J. Hand Microsurg."},{"key":"ref_130","doi-asserted-by":"crossref","first-page":"727","DOI":"10.1159\/000368345","article-title":"Radiotherapy for a phalanx bone metastasis of a lung adenocarcinoma","volume":"7","author":"Sumodhee","year":"2014","journal-title":"Case Rep. Oncol."},{"key":"ref_131","doi-asserted-by":"crossref","first-page":"23","DOI":"10.3109\/23320885.2014.985682","article-title":"Acrometastasis to metacarpal bone disclosing an occult lung cancer","volume":"1","author":"Liu","year":"2014","journal-title":"Case reports Plast. Surg. hand Surg."},{"key":"ref_132","doi-asserted-by":"crossref","unstructured":"Lambe, G., Le, P., and Clay, T.D. (2014). A finding with a diagnosis: I just can\u2019t put my finger on it. BMJ Case Rep., 2014.","DOI":"10.1136\/bcr-2014-208665"},{"key":"ref_133","doi-asserted-by":"crossref","first-page":"482","DOI":"10.1016\/j.arbr.2016.07.001","article-title":"Acrometastasis as the initial presentation of lung adenocarcinoma in a young woman","volume":"52","year":"2016","journal-title":"Arch. Bronconeumol."},{"key":"ref_134","doi-asserted-by":"crossref","first-page":"122","DOI":"10.12788\/jcso.0219","article-title":"An uncommon presentation of non-small-cell lung cancer with acrometastases to the great toe and index finger","volume":"14","author":"Reynolds","year":"2016","journal-title":"J. community Support. Oncol."},{"key":"ref_135","first-page":"XD01","article-title":"Digital Acrometastasis as Initial Presentation in Carcinoma of Lung A Case Report and Review of Literature","volume":"10","author":"Sahoo","year":"2016","journal-title":"J. Clin. Diagn. Res."},{"key":"ref_136","doi-asserted-by":"crossref","first-page":"156","DOI":"10.1080\/09540261.2016.1188509","article-title":"Acrometastasis as the first sign of an occult non-small cell carcinoma of lung","volume":"51","author":"Ottesen","year":"2017","journal-title":"J. Plast. Surg. Hand Surg."},{"key":"ref_137","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1016\/j.hansur.2016.10.211","article-title":"Five cases of acrometastasis to the hand from a carcinoma and review of the literature","volume":"36","author":"Combalia","year":"2017","journal-title":"Hand Surg. Rehabil."},{"key":"ref_138","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1097\/RLU.0000000000001621","article-title":"Solitary Thumb Acrometastasis Identified on Bone Scintigraphy","volume":"42","author":"Xie","year":"2017","journal-title":"Clin. Nucl. Med."},{"key":"ref_139","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1016\/j.ajur.2017.07.003","article-title":"\u201cThumb\u2019s off\u201d for acrometastasis of renal cell carcinoma: Is there a role for acrometastasectomy in the era of targeted therapy?","volume":"5","author":"Lechmiannandan","year":"2018","journal-title":"Asian J. Urol."},{"key":"ref_140","doi-asserted-by":"crossref","first-page":"212","DOI":"10.5152\/eurjrheum.2017.17064","article-title":"Acrometastasis as the first manifestation of lung carcinoma","volume":"5","author":"Akasbi","year":"2018","journal-title":"Eur. J. Rheumatol."},{"key":"ref_141","doi-asserted-by":"crossref","first-page":"S01","DOI":"10.1055\/s-0038-1645952","article-title":"Isolated Metastatic Carcinoma to the Hamate Bone: The First Manifestation of an Occult Malignancy","volume":"11","author":"Tabrizi","year":"2019","journal-title":"J. Hand Microsurg."},{"key":"ref_142","doi-asserted-by":"crossref","first-page":"rjz011","DOI":"10.1093\/jscr\/rjz011","article-title":"Colon adenocarcinoma with metastases to the scaphoid: A case report and review of the literature","volume":"2019","author":"Voskuil","year":"2019","journal-title":"J. Surg. Case Rep."},{"key":"ref_143","doi-asserted-by":"crossref","first-page":"1919","DOI":"10.2169\/internalmedicine.4703-20","article-title":"Acrometastasis of Lung Cancer","volume":"59","author":"Hirano","year":"2020","journal-title":"Intern. Med."},{"key":"ref_144","doi-asserted-by":"crossref","first-page":"74.e1","DOI":"10.1016\/j.jhsa.2020.03.014","article-title":"Unusual Manifestation of Chronic Lymphocytic Leukemia in the Hand","volume":"46","author":"Cruz","year":"2021","journal-title":"J. Hand Surg. Am."},{"key":"ref_145","doi-asserted-by":"crossref","first-page":"e20897","DOI":"10.1097\/MD.0000000000020897","article-title":"Hand metastasis in a patient with cervical cancer: A case report","volume":"99","author":"Ramos","year":"2020","journal-title":"Medicine"},{"key":"ref_146","doi-asserted-by":"crossref","first-page":"51","DOI":"10.3747\/co.v15i5.189","article-title":"Two Cases of Acrometastasis to the Hands and Review of the Literature","volume":"15","author":"Flynn","year":"2008","journal-title":"Curr. Oncol."},{"key":"ref_147","doi-asserted-by":"crossref","first-page":"544","DOI":"10.1016\/S0266-7681(96)80062-3","article-title":"Metastases to the Hand from Carcinoma of the Lower Alveolus","volume":"21","author":"Viswanathan","year":"1996","journal-title":"J. Hand Surg. Am."},{"key":"ref_148","doi-asserted-by":"crossref","first-page":"876","DOI":"10.1053\/jhsu.2002.34368","article-title":"Renal cell carcinoma with metastases to the triquetrum: Case report","volume":"27","author":"Tolo","year":"2002","journal-title":"J. Hand Surg. Am."},{"key":"ref_149","doi-asserted-by":"crossref","first-page":"1169","DOI":"10.1053\/jhsu.2000.17863","article-title":"Metastatic thymic carcinoma in a digit: A case report","volume":"25","author":"Shannon","year":"2000","journal-title":"J. Hand Surg. Am."},{"key":"ref_150","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1007\/s11748-010-0626-7","article-title":"Unusual metastasis to all the digits of both hands in a patient previously operated on for esophageal carcinoma","volume":"59","author":"Dar","year":"2011","journal-title":"Gen. Thorac. Cardiovasc. Surg."},{"key":"ref_151","doi-asserted-by":"crossref","first-page":"529","DOI":"10.1007\/s00256-005-0047-3","article-title":"Gastric cancer acrometastases to all digits of one hand following closed intramedullary nailing","volume":"35","author":"Bahk","year":"2006","journal-title":"Skeletal Radiol."},{"key":"ref_152","doi-asserted-by":"crossref","first-page":"578","DOI":"10.1177\/1753193412441776","article-title":"Nasopharyngeal carcinoma with hand metastasis","volume":"37","author":"Sipahioglu","year":"2012","journal-title":"J. Hand Surg. (European Vol.)"},{"key":"ref_153","doi-asserted-by":"crossref","first-page":"477","DOI":"10.1007\/s004020050298","article-title":"Peripheral bone metastasis of a rare lung cancer","volume":"117","author":"Richter","year":"1998","journal-title":"Arch. Orthop. Trauma Surg."},{"key":"ref_154","first-page":"99","article-title":"The similarities between the mechanism of wound healing and tumor development--literature review on the occasion of a patient with colonic adenocarcinoma metastasis in a dog-bite wound","volume":"146","author":"Farkas","year":"2005","journal-title":"Orv. Hetil."},{"key":"ref_155","doi-asserted-by":"crossref","first-page":"1007","DOI":"10.1001\/archotol.1997.01900090123020","article-title":"An Unusual Metastasis to the Thumb in a Laryngectomized Tracheoesophageal Speaker","volume":"123","author":"Lewin","year":"1997","journal-title":"Arch. Otolaryngol.\u2014Head Neck Surg."},{"key":"ref_156","first-page":"445","article-title":"Metastatic tumors of the hand in three cases","volume":"39","author":"Ozcanli","year":"2005","journal-title":"Acta Orthop. Traumatol. Turc."},{"key":"ref_157","doi-asserted-by":"crossref","first-page":"1159","DOI":"10.1097\/SMJ.0b013e31817bf9be","article-title":"Esophageal Squamous Cell Carcinoma with a Solitary Phalangeal Metastasis","volume":"101","author":"Hsieh","year":"2008","journal-title":"South. Med. J."},{"key":"ref_158","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1177\/026921639000400212","article-title":"Isolated digital metastasis in bronchogenic carcinoma","volume":"4","author":"Stone","year":"1990","journal-title":"Palliat. Med."},{"key":"ref_159","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1097\/SAP.0b013e3181f3e36e","article-title":"Acrometastasis and the Potential Benefits of Early Positron Emission Tomography Scanning","volume":"67","author":"Bhandari","year":"2011","journal-title":"Ann. Plast. Surg."},{"key":"ref_160","doi-asserted-by":"crossref","first-page":"1713","DOI":"10.2106\/00004623-200111000-00016","article-title":"Metastatic Clear-Cell Sarcoma of the Capitate","volume":"83","author":"Reichert","year":"2001","journal-title":"J. Bone Jt. Surgery-American Vol."},{"key":"ref_161","doi-asserted-by":"crossref","first-page":"430","DOI":"10.4103\/0973-1482.103526","article-title":"Acrometastasis to hand in vaginal carcinoma: A rare entity","volume":"8","author":"Khosla","year":"2012","journal-title":"J. Cancer Res. Ther."},{"key":"ref_162","doi-asserted-by":"crossref","first-page":"1242","DOI":"10.1016\/j.jhsa.2012.03.006","article-title":"Trapezial Metastasis as the First Indication of Primary Non\u2013small Cell Carcinoma of the Lung","volume":"37","author":"Song","year":"2012","journal-title":"J. Hand Surg. Am."},{"key":"ref_163","doi-asserted-by":"crossref","first-page":"156","DOI":"10.1053\/jhsu.2001.20163","article-title":"Solitary renal cell carcinoma metastasis to the hand: The need for wide excision or amputation","volume":"26","author":"Ghert","year":"2001","journal-title":"J. Hand Surg. Am."},{"key":"ref_164","doi-asserted-by":"crossref","first-page":"659","DOI":"10.1097\/00003072-198609000-00016","article-title":"Radionuclide Imaging of Two Patients with Metastasis to a Distal Phalanx of the Hand","volume":"11","author":"Kosuda","year":"1986","journal-title":"Clin. Nucl. Med."},{"key":"ref_165","first-page":"441","article-title":"Metastasis to the hand","volume":"78","author":"Vijayakumar","year":"1986","journal-title":"J. Natl. Med. Assoc."},{"key":"ref_166","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1007\/BF02554955","article-title":"Metastatic tumors in the hand from adenocarcinoma of the colon","volume":"30","author":"Buckley","year":"1987","journal-title":"Dis. Colon Rectum"},{"key":"ref_167","doi-asserted-by":"crossref","first-page":"803","DOI":"10.1016\/S0363-5023(87)80074-6","article-title":"A colonic metastatic tumor in the hand","volume":"12","author":"Hindley","year":"1987","journal-title":"J. Hand Surg. Am."},{"key":"ref_168","doi-asserted-by":"crossref","first-page":"219","DOI":"10.3928\/0147-7447-19880101-26","article-title":"Metastatic lesions of the hand: Report of a case","volume":"11","author":"Bourne","year":"1988","journal-title":"Orthopedics"},{"key":"ref_169","doi-asserted-by":"crossref","first-page":"306","DOI":"10.1016\/0266-7681_88_90094-0","article-title":"Metastatic adenocarcinoma of the carpus: A case report","volume":"13","author":"Craigen","year":"1988","journal-title":"J. Hand Surg. J. Br. Soc. Surg. Hand"},{"key":"ref_170","first-page":"111","article-title":"Metastasis of cervical cancer to the end phalanx of the small finger","volume":"110","author":"Dalicho","year":"1988","journal-title":"Zentralbl. Gynakol."},{"key":"ref_171","first-page":"37","article-title":"Phalangeal metastasis of cancer of the esophagus. Apropos of a case","volume":"42","author":"Haas","year":"1988","journal-title":"Ann. Chir."},{"key":"ref_172","doi-asserted-by":"crossref","first-page":"728","DOI":"10.1055\/s-2008-1067711","article-title":"Handmetastasen\u2014eine seltene Metastasierungsform des kolorektalen Karzinoms","volume":"113","author":"Dallek","year":"2008","journal-title":"DMW\u2014Dtsch. Medizinische Wochenschrift"},{"key":"ref_173","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1007\/BF00463527","article-title":"A small-cell osteosarcoma with multiple skeletal metastases","volume":"107","author":"Sanjay","year":"1987","journal-title":"Arch. Orthop. Trauma. Surg."},{"key":"ref_174","first-page":"443","article-title":"Metastasis in the carpal bones and cancer of the esophagus","volume":"125","author":"Tenenbaum","year":"1988","journal-title":"J. Chir."},{"key":"ref_175","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1016\/0363-5023(90)90073-Z","article-title":"Hand metastases from urothelial tumor","volume":"15","author":"Heymans","year":"1990","journal-title":"J. Hand Surg. Am."},{"key":"ref_176","first-page":"79","article-title":"A solitary metastasis in the trapezium bone","volume":"30","author":"Lederer","year":"1990","journal-title":"Radiologe"},{"key":"ref_177","doi-asserted-by":"crossref","first-page":"185","DOI":"10.3109\/17453679009006517","article-title":"Ovarian carcinoma metastasis to the little finger","volume":"61","author":"Turan","year":"1990","journal-title":"Acta Orthop. Scand."},{"key":"ref_178","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1016\/S0753-9053(05)80199-1","article-title":"Les acrom\u00e9tastases","volume":"10","author":"Desmanet","year":"1991","journal-title":"Ann. Chir. la Main du Memb. Sup\u00e9rieur"},{"key":"ref_179","first-page":"337","article-title":"Malignant metastases on the hand","volume":"116","author":"Henkert","year":"1991","journal-title":"Zentralbl. Chir."},{"key":"ref_180","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1016\/S0753-9053(05)80197-8","article-title":"A propos d\u2019une m\u00e9tastase isol\u00e9e au grand os","volume":"10","author":"Moutet","year":"1991","journal-title":"Ann. Chir. la Main du Memb. Sup\u00e9rieur"},{"key":"ref_181","first-page":"73","article-title":"Phalangeal metastasis of the hand. Apropos of a case","volume":"58","author":"Rochet","year":"1991","journal-title":"Rev. Rhum. Mal. Osteoartic."},{"key":"ref_182","first-page":"66","article-title":"Renal cell carcinoma with acrometastasis: Report of two cases and review of the literature","volume":"4","author":"Troncoso","year":"1991","journal-title":"Mod. Pathol."},{"key":"ref_183","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1016\/S0936-6555(05)80780-0","article-title":"Breast metastases to bones of the extremities: Simultaneous involvement of all four limbs","volume":"4","author":"Bloom","year":"1992","journal-title":"Clin. Oncol."},{"key":"ref_184","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1016\/S0190-9622(08)80823-7","article-title":"Cutaneous acral metastasis in a patient with primary gastric adenocarcinoma","volume":"27","author":"DiSpaltro","year":"1992","journal-title":"J. Am. Acad. Dermatol."},{"key":"ref_185","first-page":"946","article-title":"Transitional cell carcinoma of the renal pelvis metastatic to the metacarpal. A case report correlating cytologic and histologic findings","volume":"36","author":"Hayes","year":"1992","journal-title":"Acta Cytol."},{"key":"ref_186","first-page":"85","article-title":"Hand metastasis from renal carcinoma","volume":"12","author":"Jebson","year":"1992","journal-title":"Iowa Orthop. J."},{"key":"ref_187","first-page":"983","article-title":"Metastatic renal carcinoma in the hand: Treatment with preoperative irradiation and ray resection","volume":"21","author":"Kobus","year":"1992","journal-title":"Orthop. Rev."},{"key":"ref_188","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1016\/S0753-9053(05)80055-9","article-title":"Tumeurs m\u00e9tastatiques des parties molles de la main A propos d\u2019un cas. Revue de la litt\u00e9rature","volume":"11","author":"Rousseau","year":"1992","journal-title":"Ann. Chir. la Main du Memb. Sup\u00e9rieur"},{"key":"ref_189","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1097\/00000637-199310000-00017","article-title":"Hand Metastatis from Renal Cell Carcinoma with No Bone Involvement","volume":"31","author":"Bibi","year":"1993","journal-title":"Ann. Plast. Surg."},{"key":"ref_190","first-page":"75","article-title":"Digital and clavicular bone metastasis from transitional cell carcinoma of urinary bladder: A case report","volume":"36","author":"Marya","year":"1993","journal-title":"Indian J. Pathol. Microbiol."},{"key":"ref_191","first-page":"37","article-title":"Metastasi alla mano da carcinoma broncopolmonare","volume":"44","author":"Roncaglio","year":"1993","journal-title":"Minerva Ortop. Traumatol."},{"key":"ref_192","first-page":"589","article-title":"Fine needle aspiration cytology of acrometastasis. A report of two cases","volume":"38","author":"Knapp","year":"1994","journal-title":"Acta Cytol."},{"key":"ref_193","doi-asserted-by":"crossref","first-page":"806","DOI":"10.1016\/0363-5023(94)90189-9","article-title":"Metastatic transitional cell carcinoma to the hand","volume":"19","author":"Walsh","year":"1994","journal-title":"J. Hand Surg. Am."},{"key":"ref_194","first-page":"274","article-title":"Hand and foot acrometastases in a patient with bronchial carcinoma","volume":"78","author":"Machiels","year":"1995","journal-title":"J. Belge Radiol."},{"key":"ref_195","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1016\/S0266-7681(96)80063-5","article-title":"Metastatic Tumours of the Hand","volume":"21","author":"Castello","year":"1996","journal-title":"J. Hand Surg. Am."},{"key":"ref_196","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1006\/gyno.1996.0290","article-title":"Gestational Trophoblastic Disease Presenting asa Large Metastasis to the Finger","volume":"63","author":"Hetzel","year":"1996","journal-title":"Gynecol. Oncol."},{"key":"ref_197","first-page":"46","article-title":"Bone metastasis of bronchial carcinoma to the wrist. Case report","volume":"28","author":"Goth","year":"1996","journal-title":"Handchir. Mikrochir. Plast. Chir."},{"key":"ref_198","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1007\/s002640050045","article-title":"Metastatic tumours of the hand","volume":"20","author":"Saglike","year":"1996","journal-title":"Int. Orthop."},{"key":"ref_199","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1111\/j.1365-2230.1996.tb00129.x","article-title":"Renal cell carcinoma metastatic to the thumb: A case report and review of subungual metastases from all primary sites","volume":"21","author":"Vine","year":"1996","journal-title":"Clin. Exp. Dermatol."},{"key":"ref_200","first-page":"154","article-title":"A rare case of metastasis of urinary bladder carcinoma in the pisiform bone. A case report","volume":"29","author":"Bauer","year":"1997","journal-title":"Handchir. Mikrochir. Plast. Chir."},{"key":"ref_201","doi-asserted-by":"crossref","first-page":"531","DOI":"10.2482\/haigan.37.531","article-title":"A case of metastasis to the metacarpal bone of the right thumb from squamous cell carcinoma of the lung","volume":"37","author":"Hatakeyama","year":"1997","journal-title":"Jpn. J. Lung Cancer"},{"key":"ref_202","first-page":"134","article-title":"Metastasis of an adenocarcinoma of the colon to the 1st metacarpal bone","volume":"16","year":"1997","journal-title":"Ann. Chir. Main Memb. Super."},{"key":"ref_203","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1007\/BF03043810","article-title":"Fingermetastase eines Kolonkarzinoms","volume":"19","author":"Rupprecht","year":"1997","journal-title":"Coloproctology"},{"key":"ref_204","first-page":"184","article-title":"Metastasis en la mano, a proposito de un caso","volume":"21","author":"Baron","year":"1998","journal-title":"Oncologia"},{"key":"ref_205","doi-asserted-by":"crossref","first-page":"571","DOI":"10.1055\/s-2008-1045189","article-title":"Prim\u00e4rmanifestation eines hepatozellul\u00e4ren Carcinoms als osteolytische Handmetastase\u2014Ein Fallbericht","volume":"136","author":"Delsmann","year":"2008","journal-title":"Z. Orthop. Ihre Grenzgeb."},{"key":"ref_206","doi-asserted-by":"crossref","unstructured":"(1998). Baran; Guillot; Tosti Metastasis from carcinoma of the bronchus to the distal aspect of two digits. Br. J. Dermatol., 138, 708.","DOI":"10.1046\/j.1365-2133.1998.02193.x"},{"key":"ref_207","first-page":"129","article-title":"Mixed squamous and small cell lung carcinoma with separate histologic subtypes in eye and phalanx metastases","volume":"17","author":"Celik","year":"1998","journal-title":"J. Exp. Clin. Cancer Res."},{"key":"ref_208","first-page":"819","article-title":"Fingertip metastasis presenting with a history of trauma","volume":"59","author":"Chirodian","year":"1998","journal-title":"Hosp. Med."},{"key":"ref_209","doi-asserted-by":"crossref","first-page":"282","DOI":"10.1007\/BF02787214","article-title":"Metastasis of bronchogenic carcinoma to the thumb","volume":"15","author":"Galmarini","year":"1998","journal-title":"Med. Oncol."},{"key":"ref_210","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1016\/S0020-1383(98)00162-4","article-title":"Haemorrhagic secondary prostatic metastasis of the terminal phalanx of the thumb","volume":"29","author":"Massraf","year":"1998","journal-title":"Injury"},{"key":"ref_211","doi-asserted-by":"crossref","first-page":"1009","DOI":"10.1097\/00007611-199910000-00013","article-title":"Acrometastasis in Renal Cell Carcinoma","volume":"92","author":"Adegboyega","year":"1999","journal-title":"South. Med. J."},{"key":"ref_212","doi-asserted-by":"crossref","first-page":"939","DOI":"10.1046\/j.1365-2133.1999.03182.x","article-title":"Metastatic squamous cell carcinoma of the nail bed: A presenting sign of lung cancer","volume":"141","author":"Chang","year":"1999","journal-title":"Br. J. Dermatol."},{"key":"ref_213","first-page":"177","article-title":"Unusual location for secondary bone metastasis from advanced renal cell carcinoma","volume":"13","author":"Giberti","year":"1999","journal-title":"Acta Urol. Ital."},{"key":"ref_214","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1142\/S0218810499000071","article-title":"Metastatic hepatocellular carcinoma of the distal phalanx of the thumb: A case report","volume":"4","author":"Lee","year":"1999","journal-title":"Hand Surg."},{"key":"ref_215","doi-asserted-by":"crossref","first-page":"e534","DOI":"10.1016\/S1470-2045(15)00088-1","article-title":"Immunotherapy response assessment in neuro-oncology: A report of the RANO working group","volume":"16","author":"Okada","year":"2015","journal-title":"Lancet Oncol."},{"key":"ref_216","first-page":"653","article-title":"Bilateral subungual metastasis from squamous cell carcinoma of the lung: A diagnostic trap!","volume":"54","author":"Vanhooteghem","year":"1999","journal-title":"Rev. Med. Liege"},{"key":"ref_217","doi-asserted-by":"crossref","first-page":"647","DOI":"10.1016\/S0030-5898(05)70182-6","article-title":"Management of metastatic disease of other bones","volume":"31","author":"Esther","year":"2000","journal-title":"Orthop. Clin. North Am."},{"key":"ref_218","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1016\/j.hcl.2004.03.010","article-title":"The hand in metastatic disease and acral manifestations of paraneoplastic syndromes","volume":"20","author":"Hayden","year":"2004","journal-title":"Hand Clin."},{"key":"ref_219","doi-asserted-by":"crossref","first-page":"567","DOI":"10.1016\/j.wneu.2020.01.192","article-title":"Letter to the Editor Regarding \u201cRare Thymoma Metastases to the Spine: Case Reports and Review of the Literature","volume":"138","author":"Umana","year":"2020","journal-title":"World Neurosurg."},{"key":"ref_220","doi-asserted-by":"crossref","first-page":"923","DOI":"10.1016\/j.jhsa.2014.01.016","article-title":"Metastases to the Hand and Wrist: An Analysis of 221 Cases","volume":"39","author":"Afshar","year":"2014","journal-title":"J. Hand Surg. Am."},{"key":"ref_221","doi-asserted-by":"crossref","first-page":"152","DOI":"10.25259\/SNI_259_2020","article-title":"Intramedullary craniovertebral junction metastasis leading to the diagnosis of underlying renal cell carcinoma","volume":"11","author":"Ponzo","year":"2020","journal-title":"Surg. Neurol. Int."},{"key":"ref_222","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2014\/207643","article-title":"Spinal Hydatidosis Relapse: A Case Report","volume":"2014","author":"Fiori","year":"2014","journal-title":"Case Rep. Orthop."},{"key":"ref_223","doi-asserted-by":"crossref","first-page":"267","DOI":"10.25259\/SNI_504_2021","article-title":"Difficulty differentiating between a posterior extradural lumbar tumor versus sequestered disc even with gadolinum-enhanced MRI","volume":"12","author":"Passanisi","year":"2021","journal-title":"Surg. Neurol. Int."},{"key":"ref_224","doi-asserted-by":"crossref","first-page":"387","DOI":"10.1007\/BF00350965","article-title":"Metastatic tumours of bones of the hand and foot","volume":"16","author":"Libson","year":"1987","journal-title":"Skeletal Radiol."},{"key":"ref_225","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1016\/S0363-5023(87)80164-8","article-title":"The hand in metastatic disease","volume":"12","author":"Kerin","year":"1987","journal-title":"J. Hand Surg. Am."},{"key":"ref_226","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1097\/RLU.0b013e318208f52c","article-title":"Solitary Phalangeal Metastasis of Renal Cell Carcinoma on Bone Scintigram","volume":"36","author":"Sonoda","year":"2011","journal-title":"Clin. Nucl. Med."},{"key":"ref_227","doi-asserted-by":"crossref","first-page":"743","DOI":"10.2106\/00004623-198668050-00017","article-title":"Acrometastases. A study of twenty-nine patients with osseous involvement of the hands and feet","volume":"68","author":"Healey","year":"1986","journal-title":"J. Bone Joint Surg. Am."},{"key":"ref_228","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1016\/0090-3019(94)90406-5","article-title":"Brain metastasis from urachal carcinoma: Case report","volume":"42","author":"Tewari","year":"1994","journal-title":"Surg. Neurol."},{"key":"ref_229","doi-asserted-by":"crossref","unstructured":"Rodrigues, L., Cornelis, F.H., Reina, N., and Chevret, S. (2019). Prevention of Pathological Fracture of the Proximal Femur: A Systematic Review of Surgical and Percutaneous Image-Guided Techniques Used in Interventional Oncology. Medicina., 55.","DOI":"10.3390\/medicina55120755"},{"key":"ref_230","doi-asserted-by":"crossref","unstructured":"Toliu\u0161is, V., Kalesinskas, R., Kiudelis, M., and Maleckas, A. (2009). Surgical treatment of humeral metastatic tumors. Medicina, 45.","DOI":"10.3390\/medicina45080079"}],"container-title":["Medicina"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1648-9144\/57\/9\/950\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T06:59:47Z","timestamp":1760165987000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1648-9144\/57\/9\/950"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9,9]]},"references-count":230,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2021,9]]}},"alternative-id":["medicina57090950"],"URL":"https:\/\/doi.org\/10.3390\/medicina57090950","relation":{},"ISSN":["1648-9144"],"issn-type":[{"value":"1648-9144","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,9,9]]}}}