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An isolated unusual digit metastasis from esophageal carcinoma: a case report

Authors Chen Y, Tang W, Xiao H, Chen J, Zhao H, Shi J

Received 9 January 2017

Accepted for publication 29 March 2017

Published 9 May 2017 Volume 2017:10 Pages 2449—2452

DOI https://doi.org/10.2147/OTT.S132027

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Ru Chen

Peer reviewer comments 3

Editor who approved publication: Dr Ingrid Espinoza

Yi Chen,1,2,* Weiwei Tang,3,*  Hua Xiao,3 Jinfei Chen,1 Huanyu Zhao,1 Junfeng Shi1

1Department of Oncology, Nanjing First Hospital, Nanjing Medical University, 2Department of Oncology, Nanjing Pukou Central Hospital, 3Department of General Surgery, Nanjing First Hospital, Nanjing Medical University, Nanjing, People’s Republic of China

*These authors contributed equally to this work

Abstract: Distant soft tissue tumor metastasis isolated in the digit, presenting as a primary esophageal squamous cell carcinoma is considered extremely rare. Herein, we present a rare case of a 44-year-old male patient with squamous cell carcinoma of the esophagus associated with the clinical symptoms of progressive dysphagia and hoarseness in the course of 2 days. During the second course of chemotherapy, the patient sustained a fall with scald to his right ring finger, while the swelling in the right ring finger was soft, cystic and 2.0×1.8 cm in size. Then, phalangectomy was performed in his right ring finger and pathologic diagnosis was considered metastasis from the esophagus. Unfortunately, the patient succumbed to this disease within 2 months of diagnosis of metastasis. In conclusion, detection of soft tissue metastasis may have prognostic implications, providing more accessible biopsy sites and helping avoid invasive procedures.

Keywords: soft tissue metastasis, phalangectomy, prognostic, progressive

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