Diffusely Metastatic Digital Papillary Adenocarcinoma 11 Years After Initial Presentation Treated With Palliative Chemotherapy and Radiotherapy

Abstract

A 48-year-old man presented in 1999 with a mass on his right thumb. Biopsy revealed aggressive digital papillary adenoma. He underwent partial amputation; pathology revealed a 1.5-cm aggressive digital papillary adenocarcinoma (ADPCa) with widely negative margins. The final pathology was described previously by Jih et al. 1 There was no evidence of metastatic disease on cross-sectional imaging at the time. The patient was followed with routine physical examination and cross-sectional imaging for 5 years without evidence of recurrence or spread.