Soft tissue metastases of prostate cancer to other sites are extremely rare, and, to our best knowledge, there have been no reports of metastasis to soft tissue of the hand. A 63-year-old man was diagnosed with prostatic cancer. During treatment, bone and soft tissue metastases to the right hand, appearing in the first web space, were observed. The tumor was resected, along with both the first and second metacarpal bones. The thumb was reconstructed by pollicization of the remaining index finger, enabling the patient to use the pollicized thumb for activities of daily living. This is the first case report of prostate cancer metastasizing to the soft tissue in hand. After wide resection, pollicization was able to reconstruct a functional hand and thumb.
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Case reports in orthopedics. 2016 Oct 23 [Epub]
Akihito Nagano, Takatoshi Ohno, Koji Oshima, Daichi Ishimaru, Yutaka Nishimoto, Yoshiyuki Ohno, Akihiro Hirakawa, Tatsuhiko Miyazaki, Haruhiko Akiyama
The Department of Orthopaedic Surgery, Gifu University School of Medicine, 1-1 Yanagido, Gifu 501-1193, Japan., The Department of Orthopaedic Surgery, Japanese Red Cross Gifu Hospital, 3-36 Iwakuracho, Gifu 502-0844, Japan., The Department of Orthopaedic Surgery, Ibi Kousei Hospital, 2547-4 Miwa, Ibigawa-cho, Gifu 501-0691, Japan., The Department of Nursing Course, Gifu University School of Medicine, 1-1 Yanagido, Gifu 501-1193, Japan., The Department of Orthopaedic Surgery, Gifu Municipal Hospital, 7-1 Kashima-cho, Gifu 500-8323, Japan., The Division of Pathology, Gifu University Hospital, 1-1 Yanagido, Gifu 501-1193, Japan.