Metastases to the small bones of the hands and feet are a rare occurrence. The author reports five cases from his personal experience and reviews the literature. Bronchogenic carcinoma appears to be the principal contributor to hand metastases. Although there are approximately 150 reported cases, the true incidence is probably greater due to lack of reporting and lack of attention to the extremities in routine screening procedures. X-ray appearance is uniformly lytic. Local radiotherapy gives palliation.