Multifocal metastatic chordoma to the soft tissues of the fingertips: a case report including sonographic features and a review of the literature
| Autor: | Nicole Girard, Zachary C. Smith, Barry G. Hansford |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Male
musculoskeletal diseases medicine.medical_specialty Pathology Lung Neoplasms Biopsy Radiography Presumptive diagnosis Soft Tissue Neoplasms 030218 nuclear medicine & medical imaging Diagnosis Differential Fingers 03 medical and health sciences 0302 clinical medicine Chordoma medicine Humans Radiology Nuclear Medicine and imaging Ultrasonography Spinal Neoplasms Lung business.industry Soft tissue Middle Aged medicine.disease medicine.anatomical_structure 030220 oncology & carcinogenesis Orthopedic surgery Radiology business Medical therapy Sacral Chordoma |
| Zdroj: | Skeletal Radiology. 47:401-406 |
| ISSN: | 1432-2161 0364-2348 |
| DOI: | 10.1007/s00256-017-2785-4 |
| Popis: | Chordoma is a rare, locally aggressive tumor which commonly metastasizes, most often to the lung, liver, and spine. In this case report, a 59-year-old male with history of sacral chordoma and pulmonary metastases presented to the emergency department with swelling and discoloration of multiple left fingertips. The initial radiographs led to a presumptive diagnosis of gout, which did not respond to medical therapy. An ultrasound demonstrated multiple solid masses with vascular hyperechoic septations which were subsequently biopsied and proven to be metastatic chordoma. Metastatic disease to the hand is a well documented but rare manifestation of many malignancies. The clinical presentation and radiographic features of multifocal hand metastases may mimic entities such as systemic deposition and granulomatous diseases. To the best of our knowledge, this is the first case report of soft tissue chordoma metastases to the fingertips as well as the first reported sonographic description of chordoma metastases. |
| Databáze: | OpenAIRE |
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