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Unusual association of diseases/symptoms
CASE REPORT
Digital lesion leading to diagnosis of cholangiocarcinoma
  1. Dhauna Karam1,
  2. Bharat Agrawal2,
  3. Chandra Mouli2
  1. 1Department of medical oncology, Rosalind Franklin University of Medicine and Science, North Chicago, Illinois, USA
  2. 2Department of Medical Oncology/Medicine, Capt James A Lovell federal Health Care Centre, North Chicago, Illinois, USA
  1. Correspondence to Dr Dhauna Karam, dhauna.karam{at}gmail.com

Summary

Cholangiocarcinomas (CCA) are uncommon malignancies that present late and have a poor prognosis. The patients may remain undiagnosed for many years because of non-specific presentation. CCA metastasises commonly to liver and adjacent lymph nodes. It can rarely metastasise to bone, lung, colon, pancreas, adrenal glands and spleen. Multiple treatment options are available including surgery, chemotherapy, radiotherapy and photodynamic therapy. The tumours have high rate of recurrence and most patients require palliative care. Our patient is a middle-aged man who presented with pain in right ring finger, workup of which revealed digital metastasis from underlying cholangiocarcinoma.

https://doi.org/10.1136/bcr-2017-221075

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    Footnotes

    • Contributors DK was involved in acquisition of data, interpretation of results, writing the manuscript and formatting. BA was involved in design, conduct and review of manuscript. CM is the radiologist who helped with radiology images for the manuscript. All authors agree with the final draft and conclusions of manuscript.

    • Competing interests None declared.

    • Patient consent Detail has been removed from this case description/these case descriptions to ensure anonymity. The editors and reviewers have seen the detailed information available and are satisfied that the information backs up the case the authors are making.

    • Provenance and peer review Not commissioned; externally peer reviewed.