Metastatic Endometrioid Carcinoma Mimicking a Subungual Melanoma

Jena C. Glavy (), Shian L. Peterson, Jonathan Strain, Kevin Byrd and James H. Flint
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Jena C. Glavy: Department of OBGYN, Navy Medicine Readiness and Training Command, San Diego, CA 92134, USA
Shian L. Peterson: Department of Orthopedic Surgery, Navy Medicine Readiness and Training Command, San Diego, CA 92134, USA
Jonathan Strain: Department of Pathology, Navy Medicine Readiness and Training Command, San Diego, CA 92134, USA
Kevin Byrd: Department of OBGYN, Navy Medicine Readiness and Training Command, San Diego, CA 92134, USA
James H. Flint: Department of Orthopedic Surgery, Navy Medicine Readiness and Training Command, San Diego, CA 92134, USA

IJERPH, 2022, vol. 19, issue 21, 1-7

Abstract: Case: We report a case of a 76-year-old female with a stage IB, grade I endometrioid endometrial carcinoma who presented with right-hip pain and an enlarging black, exophytic, subungual lesion on her right-small-finger distal phalanx. Clinically, the distal phalanx lesion was suspicious for a subungual melanoma; however, advanced imaging suggested metastatic disease, with lesions in the acetabulum, lungs, brain, vulva, and vagina. Conclusion: Partial amputation of the right, small finger and vulvar biopsies confirmed an endometrial carcinoma. To our knowledge, this is the first described case of endometrial adenocarcinoma metastasis to the phalanx of an upper extremity, mimicking a subungual melanoma.

Keywords: endometrial adenocarcinoma; bone metastasis; subungual; acral metastasis; exophytic (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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