Clinical Example: Index ray resection for metastatic lung cancer


 
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Painful prominence on index finger proximal phalanx in a gentleman with known metastatic squamous cell lung cancer.
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Radiographic erosive changes of the proximal phalanx. 
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Biopsy: soft tumor, extending subcutaneous to intramedullary. 
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Ray resection.
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Tumor filling medullary cavity of metacarpal...
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Closure.
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