Osteolysis of hand bones due to metastatic deposits from XXXX --a case report.

@entity1 @entity5 @entity75 @entity79 @entity3 @entity158 @entity694
Despite the availability of an efficient screening protocol review, @entity694 is a leading health problem of the world population. At the time of diagnosis about 25% of cases have distant @entity3 . Distant @entity3 are most frequently @entity3 in the liver, lungs, brain, but they are rare in the bones. An early diagnosis of secondary deposits in the bones of the hand can be very difficult. The symptoms are subclinical or similar to other @entity79 . They appear in the advanced disease, and treatment is palliative. The treatment (radiotherapy, chemotherapy, surgery) is determined according to the general condition of the @entity1 and the localization of the lesion. Radiotherapy can reduce @entity5 mass and reduce @entity158 especially among @entity1 with @entity75 or inoperable ones. The aim of this paper was to: (1) present a case of secondary deposits of @entity694 in the hand bones, (2) present the incidence, (3) give differential diagnoses and (4) describe the air treatment by unconventional regime of fractionation. The approach to the treatment of metastatic hands must be multi-disciplinary including an orthopedist, radiologist, oncologist and pathologist. It is important to know the importance of early recognition of these lesions.
