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Metastatic Adenocarcinoma to the Wrist Presenting as Carpal Tunnel Syndrome: A Report of an Unusual Cause

Roohi, S.A., and Samsudin, O.C., and Shukur, M.H. , and Ibrahim, S., (2011) Metastatic Adenocarcinoma to the Wrist Presenting as Carpal Tunnel Syndrome: A Report of an Unusual Cause. Malaysian Orthopaedic Journal, 5 (1). pp. 75-77. ISSN 1985 2533

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Official URL: http://www.morthoj.org

Affiliations

Universiti Putra Malaysia. Faculty of Medicine and Health Sciences
Gleneagles Intan Medical Centre, Kuala Lumpur, Malaysia.
Universiti Kebangsaan Malaysia. Faculty of Medicine
Universiti Kebangsaan Malaysia. Faculty of Medicine

Abstract

Secondary metastases to the hand are rare, accounting for 0.1% of all metastases, and commonly involve bones1,2. Soft tissue involvement is extremely unusual although it issignificantly more common in carcinoma than sarcoma.Metastatic lesions of adenocarcinoma of the rectum to the liver, lung and vertebrae are well known. Here we report an unusual site of metastatic deposit of primary adenocarcinoma of the rectum to the soft tissues of the wrist causing carpal tunnel syndrome, which if correctly diagnosed earlier from the symptoms could have prevented an untimely amputation.

Item Type:Journal
Keywords:Metstases lesins
Subjects:R Medicine, Dentistry, Pharmacy, Nursing
ID Code:12005

1. Amadio PC, Lombardi RM. Metastatic tumors of the hand. J Hand Surg 1987; 12A: 311-6.

2. Kerin R. Metastatic tumors of the hand. J Bone Joint Surg 1983; 65A(9): 1331-5.

3. Kerin R. The hand in metastatic disease. J Hand Surg 1987; 12A (1): 77-83.

4. Nather A, Chong PY. A rare cause of carpal tunnel syndrome due to tenosynovial osteochondroma. J Hand Surg 1986; 11B: 478-80.

5. Wood MK, Erdmann MW, Davies DM. Malignant schwannoma mistakenly diagnosed as carpal tunnel syndrome. J Hand Surg

1993; 18B(2): 187-8.

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