Article Text

Download PDFPDF
Case report
Distal phalanx: an unusual site for a gastric adenocarcinoma metastasis
  1. Holly Harris1,
  2. Mansoor Khan2 and
  3. Shameen Jaunoo2
  1. 1Trauma and Orthopaedics, Royal Sussex County Hospital, Brighton, UK
  2. 2General Surgical Department, Royal Sussex County Hospital, Brighton, UK
  1. Correspondence to Dr Holly Harris; holly.harris3{at}


Gastric adenocarcinoma typically metastasises to the liver, peritoneum and lung. Bone metastasises are less frequent and particularly uncommon in the distal extremities. This is an unusual case of metastatic disease in the distal phalanx mimicking the presentation of osteomyelitis. This case highlights the need to remain vigilant in patients with known cancer and to always be mindful of metastatic disease, even if the presentation is atypical.

  • gastrointestinal system
  • stomach and duodenum
  • gastric cancer
  • orthopaedics
  • gastrointestinal surgery

Statistics from


  • Contributors HH as main author. MK and SJ provided acquisition of data, supervision and approval of the final transcript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

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

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.