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Rare disease
Metastasis of lung adenocarcinoma to the fifth distal phalange of right hand
  1. Feng Xiao Huang1,
  2. Ning Zhang1,
  3. Lili Liu1,
  4. Helong Zhang2
  1. 1Oncology Department, Tangdu Hospital, Xi`an, China
  2. 2Oncology Department, Tangdu Hospital, Fourth Military Medical University, Xi`an, China
  1. Correspondence to Dr Lili Liu, lily123joe{at}


A 46-year-old male was diagnosed of lung adenocarcinoma with right adrenal gland metastasis in January 2009, and underwent chemotherapy (DC (docetaxel and cisplatin) regimen) and stereotactic radiotherapy. In December 2009, whole brain radiotherapy was given to the patient due to brain metastasis. In January 2010, he complained of redness, swelling and tenderness of the fifth terminal phalange of his right hand. Open surgery and biopsy confirmed bone metastasis to the finger. The patient then received local injection of OK-432 combined with radiotherapy. The symptoms were greatly relieved after treatment and the patient has survived for 28 months at the time of this report.

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  • Competing interests None.

  • Patient consent Obtained.

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