The hand in metastatic disease and acral manifestations of paraneoplastic syndromes.

Autor: Hayden RJ; Division of Hand, Elbow, and Microsurgery, Department of Orthopaedic Surgery, University of Michigan Medical Center, 2098 South Main Street, Ann Arbor, MI 48103, USA. rhayden@umich.edu, Sullivan LG, Jebson PJ
Jazyk: angličtina
Zdroj: Hand clinics [Hand Clin] 2004 Aug; Vol. 20 (3), pp. 335-43, vii.
DOI: 10.1016/j.hcl.2004.03.010
Abstrakt: Metastatic tumors to the hand and wrist are rare, accounting for approximately 0.1% of all metastatic lesions to the skeleton. The biochemically mediated pathways of bone metastases, the location of the hand at the distal extremity, and the small amount of marrow in the bones of the hand and wrist account for the low prevalence of acrometastases. More rarely, hand dermatologic and soft tissue changes of paraneoplastic syndromes herald an occult malignancy.
Databáze: MEDLINE