Work

Acrometastasis to the finger from hepatocellular carcinoma mimicking a glomus tumour: A case report

Year: 2025

Type: article

Abstract: Acrometastasis refers to the uncommon phenomenon of metastasis occurring to distal part of extremities from different primary malignancies predominantly lungs, breast, and thyroid. Digital acrometastases to fingers as a presentation of hepatocellular carcinoma (HCC) are extremely rare. A 70-year-old male patient presented to the orthopaedic casualty with a history of fall and sustained a supracondylar fracture of the humerus which was treated conservatively. Incidentally, the patient was noted to have a swelling of the left ring finger with a history of bleeding. A provisional diagnosis of glomus tumour was made. Imaging studies of the left hand were suggestive of a large glomus tumour/malignant neoplasm with destruction of the underlying phalanx. The lesion over the fingertip was excised and histopathological examination revealed a metastatic tumour which was confirmed to be hepatocellular carcinoma. This case report presents an unusual and rare presentation of HCC and reiterates the need to have a high index of suspicion while treating atypical lesions in the hands.

Source: Journal of Orthopaedic Reports

DOI: 10.1016/j.jorep.2025.100591

Authors: Hari Prasad V, Philip P. Puthumana, Joji Krishnan

Institution: Government Medical College

Language: English

Topic: Metastasis and carcinoma case studies

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $600