# Digital Papillary Adenocarcinoma: A Case Report

## TL;DR

A 58-year-old man with a recurring finger tumor was diagnosed with digital papillary adenocarcinoma and treated with amputation and long-term monitoring.

## Contribution

This case report highlights the management and long-term surveillance of digital papillary adenocarcinoma through a multidisciplinary approach.

## Key findings

- Amputation of the terminal phalanx was performed after multidisciplinary team discussion.
- The patient remained disease-free for three years following amputation with regular surveillance.
- Digital papillary adenocarcinoma has potential for recurrence and metastasis, emphasizing the need for long-term follow-up.

## Abstract

We present the case of a 58-year-old male with a five-year history of a solitary, recurrent nodule on the distal pulp of his right middle finger. Histological examination confirmed the diagnosis of digital papillary adenocarcinoma (DPA). Given the lesion’s recurrence and bone involvement, amputation of the terminal phalanx was performed following multidisciplinary team (MDT) discussion.

Postoperatively, the patient entered a structured surveillance program, consisting of clinical reviews every six months and annual CT imaging of the chest, abdomen, and pelvis to monitor for recurrence or metastasis. At three years post-amputation, the patient remains clinically well with no evidence of disease recurrence. This case highlights the importance of a multidisciplinary approach and long-term follow-up in managing DPA, given its potential for local recurrence and distant metastasis.