PMC4174103_01
Preoperative dorsal (A) and volar (B) views of metastatic lesions to the left ring and small fingers and 4 wk postoperative volar (C) view.
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F1
Physical examination revealed blistering masses of the left ring and small fingers that bled and enlarged over several days and weeks, respectively, before presentation (Fig. 1). The wounds healed without complication (Fig. 1).
Anteroposterior plain radiograph of left hand upon presentation. Note the ring finger is bandaged at the time of the radiograph.
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F2
Radiographs demonstrated an aggressive lesion in the second metacarpal and a transverse lucent lesion with nondisplaced fracture in the fourth distal phalanx (Fig. 2).
PMC4174103_02
Preoperative volar view of metastatic lesions to left middle finger (A) and right index finger (B) and postoperative volar view of left middle finger (C) and right index finger (D).
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F3
Physical examination revealed swelling of the right index and left middle fingers (Fig. 3). Surgical treatment consisted of palliative amputation to the distal phalanx of the right index finger and middle phalanx of the left middle finger (Fig. 3).
Anteroposterior (A) and lateral (B) plain radiographs of left hand upon presentation.
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F4
Radiographs reveal an extensive osteolytic lesion in the distal phalanx of the left middle finger (Fig. 4).