A Rare Case Report of Sigmoid Colon Cancer with Acrometastasis to the Hands

• Published in: Journal of cancer research and practice Vol. 12; no. 1; pp. 29 - 32
• Main Authors: Wang, Yu-Liang, Chen, Jian-Syun, Sun, Wen-Chun, Lai, Cheng-Ta
• Format: Journal Article
• Language: English
• Published: India Wolters Kluwer - Medknow 2025; Medknow Publications and Media Pvt. Ltd
• Edition: 2
• Subjects: Cancer; Case Report; Chemotherapy; Colon cancer; Health aspects; Liver; Metastasis; Radiotherapy; hand metastasis; amputation; Acrometastasis; colon cancer
• ISSN: 2589-0425; 2311-3006; 2311-3006
• DOI: 10.4103/ejcrp.eJCRP-D-24-00014

Abstract A 64-year-old male was diagnosed with sigmoid colon cancer with liver and lung metastases after presenting with abdominal pain. Despite surgeries and chemotherapy, he developed acrometastasis in his fingers, leading to amputation. Two months later, he died from respiratory failure caused by severe lung metastasis. Metastatic bone tumors are the most common type of malignant bone tumors, often affecting the spine and hip. Hand and foot metastases are extremely rare, accounting for just 0.007% - 0.3% of cases, with lung, kidney, and breast cancers being the most frequent primary sources. Colon cancer is responsible for only 6% of hand metastases. Acrometastasis, or metastasis to the hand, usually presents with pain, enlarged digits, and impaired hand function, commonly affecting the dominant hand. Amputation is the most common treatment, but radiotherapy may also be used. Early diagnosis and timely treatment are crucial to preserving hand function and quality of life.