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KMID : 0882420080750010112
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Korean Journal of Medicine
2008 Volume.75 No. 1 p.112 ~ p.114
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A case of cutaneous acrometastasis in the right 5th finger tip by metastatic breast cancer
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Kim Jin-Won
Choi Byoung-Yong
Hong Kyoung-Sup
Park Weon-Seo
Lee Keun-Seok
Ro Jung-Sil
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Abstract
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Acral metastasis to the finger is a very rare phenomenon. We report herein a case of cutaneous acrometastasis to the right 5th finger tip in a 36-year-old woman with metastatic breast cancer. The patient underwent a right modified radical mastectomy for T3N3 invasive ductal carcinoma and received adjuvant chemotherapy and radiotherapy. After 2 years, she developed metastasis to the brain, bones, and lungs. She was found to have a growing tender mass on the tip of right 5th finger. A well-demarcated, soft tissue mass was identified on sonography. Under the clinical impression of a possible benign process, the nodule was surgically removed. The pathologic finding was consistent with metastatic breast cancer. Immunohistochemical staining for estrogen receptor, progesterone receptor, and HER2 were all negative, as in the primary tumor. Radiation was given to the finger tip and systemic chemotherapy with capecitabine was tried for systemic metastatic disease.
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KEYWORD
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Acrometastasis, Cutaneous, Breast cancer
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