Acrometastasis to the Second Metatarsal Bone

중족골에 발생한 전이암

  • Kim, Byoung-Suck (Department of Orthopaedic Surgery, Ajou University, College of Medicine) ;
  • Chun, Mi-Son (Department of Radiation Oncology, Ajou University, College of Medicine) ;
  • Choi, Jin-Hyuk (Department of Medical Oncology, Ajou University, College of Medicine) ;
  • Cho, Jae-Hyun (Department of Diagnostic Radiology, Ajou University, College of Medicine) ;
  • Lee, Kyi-Beom (Department of Pathology, Ajou University, College of Medicine) ;
  • Kim, Woo-Sig (Department of Orthopaedic Surgery, Ajou University, College of Medicine) ;
  • Ahn, Jae-In (Department of Orthopaedic Surgery, Ajou University, College of Medicine)
  • 김병석 (아주대학교 의과대학 정형외과학) ;
  • 전미선 (아주대학교 의과대학 치료방사선과학) ;
  • 최진혁 (아주대학교 의과대학 종양내과학) ;
  • 조재현 (아주대학교 의과대학 진단방사선과학) ;
  • 이기범 (아주대학교 의과대학 병리학교실) ;
  • 김우식 (아주대학교 의과대학 정형외과학) ;
  • 안재인 (아주대학교 의과대학 정형외과학)
  • Published : 1998.06.01

Abstract

The pulmonary metastasis and bony metastasis finally resulted from the malignant tumors as one of the inevitable problems. Among them, the bony metastasis, which frequently involved the vertebrae, pelvis, ribs, sternum, and skull, have had the frequencies over 30%. Metastasis to the distal part of the knee is rare. However, acrometastasis which occured in bones of the foot is even rarer(0.4%) and a late manifetation of a disseminated disease from the literature review. Acrometastasis should be considered in elderly patients with a history of the previous malignancy, complaint of foot pain and mass lesion. We are reporting one rectal carcinoma with acrometastasis to the second metatarsal bone.

저자들은 43세된 여자 환자에서 직장암에 대하여 광범위 절제술 및 림프 절제술, 항암치료 및 방사선 치료 후, 국소 재발없이 직장암 수술 20개월 후, 좌측 족부의 제2 중족골로 전이된 전이암 1례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

Keywords