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Synchronous phalangeal metastases in upper and lower limbs from primary breast malignancy: a rare case scenario with a review of the literature
  1. Rahul Ravind,
  2. Chelakkot G Prameela,
  3. Bharath Chandra Gurram,
  4. Makuny Dinesh
  1. Department of Radiation Oncology, Amrita Institute of Medical Sciences and Research Centre, Kochi, Kerala, India
  1. Correspondence to Dr Rahul Ravind, dr.rahul{at}


Osseous metastasis from a primary breast cancer is common, and the skeletal related morbidity is high. However, solitary acral bony metastasis is rare and the diagnosis of these lesions poses a challenge to the physician. We describe a case of a patient treated with primary breast cancer who later presented with metastatic osteolytic bone lesions confined to a forefinger and toe.

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