{"id":"https://openalex.org/W23864689","doi":null,"title":"Renal cell carcinoma with acrometastasis: report of two cases and review of the literature.","display_name":"Renal cell carcinoma with acrometastasis: report of two cases and review of the literature.","publication_year":1991,"publication_date":"1991-01-01","ids":{"openalex":"https://openalex.org/W23864689","mag":"23864689","pmid":"https://pubmed.ncbi.nlm.nih.gov/2020663"},"language":"en","primary_location":{"id":"pmid:2020663","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/2020663","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc","raw_type":"Case Reports"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":null,"display_name":"A Troncoso","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1343551460","display_name":"The University of Texas MD Anderson Cancer Center","ror":"https://ror.org/04twxam07","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1343551460"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"A Troncoso","raw_affiliation_strings":["Department of Pathology, University of Texas M.D. Anderson Cancer Center, Houston","University of Texas, M. D. Anderson Cancer Center"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pathology, University of Texas M.D. Anderson Cancer Center, Houston","institution_ids":["https://openalex.org/I1343551460"]},{"raw_affiliation_string":"University of Texas, M. D. Anderson Cancer Center","institution_ids":["https://openalex.org/I1343551460"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5020414083","display_name":"Jae Yoon Ro","orcid":"https://orcid.org/0000-0002-4158-3658","observed_orcids":["https://orcid.org/0000-0002-4158-3658"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"J Y Ro","raw_affiliation_strings":["Institute for Academic Medicine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute for Academic Medicine","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5014281092","display_name":"David J. Grignon","orcid":"https://orcid.org/0000-0001-5287-8497","observed_orcids":["https://orcid.org/0000-0001-5287-8497"]},"institutions":[{"id":"https://openalex.org/I1343551460","display_name":"The University of Texas MD Anderson Cancer Center","ror":"https://ror.org/04twxam07","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1343551460"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"D J Grignon","raw_affiliation_strings":["University of Texas, M. D. Anderson Cancer Center"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Texas, M. D. Anderson Cancer Center","institution_ids":["https://openalex.org/I1343551460"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111587066","display_name":"W. S. Han","orcid":"https://orcid.org/0009-0005-9128-3871","observed_orcids":["https://orcid.org/0009-0005-9128-3871"]},"institutions":[{"id":"https://openalex.org/I1343551460","display_name":"The University of Texas MD Anderson Cancer Center","ror":"https://ror.org/04twxam07","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1343551460"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"W S Han","raw_affiliation_strings":["University of Texas, M. D. Anderson Cancer Center"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Texas, M. D. Anderson Cancer Center","institution_ids":["https://openalex.org/I1343551460"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5113460245","display_name":"H Wexler","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1343551460","display_name":"The University of Texas MD Anderson Cancer Center","ror":"https://ror.org/04twxam07","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1343551460"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"H Wexler","raw_affiliation_strings":["University of Texas, M. D. Anderson Cancer Center"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Texas, M. D. Anderson Cancer Center","institution_ids":["https://openalex.org/I1343551460"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5114171792","display_name":"Andrew von Eschenbach","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1343551460","display_name":"The University of Texas MD Anderson Cancer Center","ror":"https://ror.org/04twxam07","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1343551460"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"A von Eschenbach","raw_affiliation_strings":["University of Texas, M. D. Anderson Cancer Center"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Texas, M. D. Anderson Cancer Center","institution_ids":["https://openalex.org/I1343551460"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5020000559","display_name":"Alberto G. Ayala","orcid":"https://orcid.org/0000-0001-8613-9297","observed_orcids":["https://orcid.org/0000-0001-8613-9297"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"A G Ayala","raw_affiliation_strings":["Institute for Academic Medicine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute for Academic Medicine","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":31,"citation_normalized_percentile":{"value":0.00231438,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":96},"biblio":{"volume":"4","issue":"1","first_page":"66","last_page":"9"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10449","display_name":"Renal cell carcinoma treatment","score":0.9682999849319458,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10449","display_name":"Renal cell carcinoma treatment","score":0.9682999849319458,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12992","display_name":"Metastasis and carcinoma case studies","score":0.01889999955892563,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12108","display_name":"Management of metastatic bone disease","score":0.008999999612569809,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/renal-cell-carcinoma","display_name":"renal cell carcinoma","score":0.9990000128746033},{"id":"https://openalex.org/keywords/acrometastasis","display_name":"acrometastasis","score":0.9800000190734863},{"id":"https://openalex.org/keywords/bone-metastases","display_name":"bone metastasis","score":0.8610000014305115},{"id":"https://openalex.org/keywords/distal-phalanx","display_name":"distal phalanx","score":0.8289999961853027},{"id":"https://openalex.org/keywords/proximal-phalanx","display_name":"proximal phalanx","score":0.9800000190734863},{"id":"https://openalex.org/keywords/hand-bones","display_name":"hand bones","score":0.7720000147819519},{"id":"https://openalex.org/keywords/foot-bones","display_name":"foot bones","score":0.9990000128746033},{"id":"https://openalex.org/keywords/occult-metastatic-disease","display_name":"occult metastatic disease","score":0.6660000085830688},{"id":"https://openalex.org/keywords/nephrectomy","display_name":"nephrectomy","score":0.8450000286102295},{"id":"https://openalex.org/keywords/visceral-metastasis","display_name":"visceral metastases","score":0.8479999899864197},{"id":"https://openalex.org/keywords/pathogenesis","display_name":"pathogenesis","score":0.42100000381469727},{"id":"https://openalex.org/keywords/treatment","display_name":"treatment","score":0.8889999985694885}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.886889636516571},{"id":"https://openalex.org/C2777472916","wikidata":"https://www.wikidata.org/wiki/Q1164529","display_name":"Renal cell carcinoma","level":2,"score":0.7802196145057678},{"id":"https://openalex.org/C520017518","wikidata":"https://www.wikidata.org/wiki/Q178934","display_name":"Occult","level":3,"score":0.677607536315918},{"id":"https://openalex.org/C2780227381","wikidata":"https://www.wikidata.org/wiki/Q1357376","display_name":"Nephrectomy","level":3,"score":0.6072230935096741},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.5327717661857605},{"id":"https://openalex.org/C139542699","wikidata":"https://www.wikidata.org/wiki/Q180335","display_name":"Phalanx","level":2,"score":0.4882819652557373},{"id":"https://openalex.org/C2779975986","wikidata":"https://www.wikidata.org/wiki/Q6823250","display_name":"Metastatic carcinoma","level":3,"score":0.4651312232017517},{"id":"https://openalex.org/C2777546739","wikidata":"https://www.wikidata.org/wiki/Q33525","display_name":"Carcinoma","level":2,"score":0.4607338607311249},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.4470941424369812},{"id":"https://openalex.org/C2781156865","wikidata":"https://www.wikidata.org/wiki/Q827023","display_name":"Lesion","level":2,"score":0.44057950377464294},{"id":"https://openalex.org/C2779013556","wikidata":"https://www.wikidata.org/wiki/Q181876","display_name":"Metastasis","level":3,"score":0.4115535616874695},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.385072261095047},{"id":"https://openalex.org/C2780091579","wikidata":"https://www.wikidata.org/wiki/Q9377","display_name":"Kidney","level":2,"score":0.27557694911956787},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.23603835701942444},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.12334054708480835},{"id":"https://openalex.org/C204787440","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Alternative medicine","level":2,"score":0.0}],"mesh":[{"descriptor_ui":"D001859","descriptor_name":"Bone Neoplasms","qualifier_ui":"Q000556","qualifier_name":"secondary","is_major_topic":true},{"descriptor_ui":"D002292","descriptor_name":"Carcinoma, Renal Cell","qualifier_ui":"Q000556","qualifier_name":"secondary","is_major_topic":true},{"descriptor_ui":"D005385","descriptor_name":"Fingers","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007680","descriptor_name":"Kidney Neoplasms","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":true},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014034","descriptor_name":"Toes","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":2,"locations":[{"id":"pmid:2020663","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/2020663","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc","raw_type":"Case Reports"},{"id":"mag:23864689","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/2020663","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9537000060081482,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":1,"referenced_works":["https://openalex.org/W1581974893"],"related_works":["https://openalex.org/W2418605854","https://openalex.org/W4312114244","https://openalex.org/W2732005173","https://openalex.org/W3094228988","https://openalex.org/W2088325668","https://openalex.org/W4385249705","https://openalex.org/W3013275916","https://openalex.org/W3089461388","https://openalex.org/W4320496760","https://openalex.org/W2540725744"],"abstract_inverted_index":{"Metastases":[0],"to":[1,53,121,195,203,212],"the":[2,6,25,54,64,94,122,132,139,145,148,153,156,162,174,182,196,199,204,207,213],"small":[3],"bones":[4,197,205,214],"of":[5,19,28,48,57,67,89,97,124,147,159,170,173,181,190,198,206,215],"hands":[7],"and":[8,40,63,117,138,161,166,209,218,225],"feet":[9],"are":[10,227],"rare.":[11],"Although":[12],"acrometastasis":[13,154],"is":[14,164],"usually":[15],"a":[16,58,68,107],"late":[17],"manifestation":[18,27],"disseminated":[20],"disease,":[21],"it":[22,33],"may":[23,34],"be":[24,35,41],"primary":[26],"an":[29],"occult":[30],"carcinoma.":[31],"Clinically":[32],"confused":[36],"with":[37],"benign":[38],"disease":[39,99,171],"treated":[42],"improperly.":[43],"We":[44],"report":[45],"two":[46,102],"cases":[47,189,202,211],"renal":[49,112,191],"cell":[50,113,192],"carcinoma":[51,114,193],"metastatic":[52,98,194],"distal":[55],"phalanx":[56,66],"finger":[59],"in":[60,70,79,100,135,177],"Case":[61,71,80,83,136,151],"1":[62,118],"proximal":[65],"toe":[69],"2.":[72],"The":[73,220],"lesion":[74],"was":[75,86,155],"discovered":[76],"following":[77,133],"trauma":[78],"1.":[81],"In":[82,150],"2":[84,115],"there":[85],"no":[87],"history":[88],"trauma.":[90],"These":[91],"acrometastases":[92],"were":[93],"first":[95],"evidence":[96,169],"these":[101],"patients":[103],"who":[104],"had":[105],"undergone":[106],"nephrectomy":[108],"for":[109],"Stage":[110],"II":[111],"yr":[116,119],"prior":[120],"development":[123],"acrometastases,":[125],"respectively.":[126],"Additional":[127],"visceral":[128],"metastases":[129],"developed":[130],"over":[131],"months":[134],"1,":[137],"patient":[140,163],"expired":[141],"7":[142],"mo":[143],"after":[144],"discovery":[146],"acrometastasis.":[149],"2,":[152],"only":[157],"site":[158],"metastases,":[160],"alive":[165],"well":[167],"without":[168],"as":[172],"latest":[175],"follow-up":[176],"January":[178],"1990.":[179],"Review":[180],"literature,":[183],"including":[184],"our":[185],"cases,":[186],"revealed":[187],"22":[188],"hand,":[200],"nine":[201],"foot,":[208],"three":[210],"both":[216],"hand":[217],"foot.":[219],"clinical":[221],"characteristics,":[222],"pathogenetic":[223],"mechanisms,":[224],"treatment":[226],"reviewed.":[228]},"counts_by_year":[{"year":2024,"cited_by_count":1},{"year":2022,"cited_by_count":2},{"year":2021,"cited_by_count":1},{"year":2019,"cited_by_count":1},{"year":2017,"cited_by_count":1},{"year":2016,"cited_by_count":1},{"year":2015,"cited_by_count":2},{"year":2014,"cited_by_count":2}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}