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- W1420955934 abstract "Metastatic spread towards the carpalia is very rare [5], especially when the metastasis presents earlier then the primary tumor [4]. Malignant tumors rather disseminate to the lungs, liver or larger skeletal bones (e.g., the spine, pelvic or ribs) before metastasis might present in the carpal bones. The hand is affected in approximately 0.1 % of all metastatic spread, and even then, it most often occurs in the distal phalanges, followed by the metacarpal bones or proximal phalanges [5, 6]. We present a rare case of a patient whose painful wrist was the first clinical symptom of a pulmonary malignancy. The first plain X-ray of the hand revealed a radiolucency in the lunate and mild degenerative arthritis. The radiolucent lesion was initially not labeled as suspect for metastasis. Case Presentation" @default.
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- W1420955934 date "2016-09-13" @default.
- W1420955934 modified "2023-09-27" @default.
- W1420955934 title "Painful Metastasis in the Lunate Bone as the First Symptom of a Pancoast Tumor; a Case Report and Review of the Literature" @default.
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- W1420955934 doi "https://doi.org/10.1007/s12593-015-0195-1" @default.
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