[Digital necrosis revealing lung cancer: Case-report and review of the literature].

• 发表时间: May 2019
• 来源期刊: J Med Vasc
• DOI: 10.1016/j.jdmv.2019.02.005
• PMID: 31029276
• 文章类型: Case Reports
• 作者列表: Hassold N,Hu L,Michon-Pasturel U,Roscoulet D,Damiano J

关键词: Adénocarcinome bronchique; Lung cancer; Nécrose orteils; Paraneoplasia; Syndrome paranéoplasique; Toe necrosis

Mesh: Adenocarcinoma of Lung / complications secondary therapy; Fatal Outcome; Humans; Liver Neoplasms / complications secondary therapy; Lung Neoplasms / complications pathology therapy; Middle Aged; Necrosis; Palliative Care; Paraneoplastic Syndromes / etiology pathology therapy; Toes / blood supply

Abstract

We report the case of a 51-year-old patient who presented necrosis affecting all of the toes in a context of confusion and declining general health. The etiology work-up disclosed a lung mass. Biopsy and search for extension led to the diagnosis of adenocarcinoma with liver metastasis. Unfortunately, symptomatic treatment of the digital necrosis did not lead to improvement and the patient was given palliative care. Digital necrosis generally affects the fingers. Localization on the toes is atypical and few cases have been reported in the literature.