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Although metastases to bones from solid tumors are very common, involvement of small bones of the hands and feet is extremely rare. One half of the cases reported in literature resulted from a primary tumor in the lung. Four cases seen over the last four years with metastases to bones of the hand and one case with metastases to foot bones are discussed. None of these patients had a lung primary tumor. Three of the four patients who had metastases to hand bones had the disease on the right side.
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