Malaysian Journal of Medical Sciences
School of Medical Sciences, Universiti Sains Malaysia
Vol. 22, No. 5, 2015, pp. 85-88
Bioline Code: mj15061
Full paper language: English
Document type: Case Report
Document available free of charge
Malaysian Journal of Medical Sciences, Vol. 22, No. 5, 2015, pp. 85-88
© Copyright 2015 - Malaysian Journal of Medical Sciences
Capitate Metastases in Adenocarcinoma Lung: A Rare Occurrence|
Kaur, Jaspreet; Madan, Renu; Vijay, Maneesh Kumar; Julka, Pramod Kumar & Rath, Goura Kishore
Metastatic carcinoma is the most common malignancy of the bone. Metastases to the
upper limbs of the skeleton are extremely uncommon, with only 10–15% occurring in this region.
Metastases to the hand and wrist comprise about 0.15% of all hand tumours, and only 0.1% of all
metastases. Carpal bone metastases are much rarer than those to the metacarpal and phalangeal
bones. They usually masquerade as more common hand pathology such as arthritis or osteomyelitis.
Given the bleak prognosis of carpal metastatic disease in lung cancer, treatment of a metastasis to
the hand is usually palliative. Contrary to earlier beliefs, palliative radiotherapy plays a significant
role in pain relief and improving hand mobility in patients diagnosed with metastatic disease of the
hand. We report a case of adenocarcinoma of the lung with metastases to the capitate bone of the
carpus treated with palliative radiotherapy.
carpal bone; metastases; lung cancer; palliative; radiotherapy
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