Adenocarcinoma of the lung with metatarsal metastasis.
Foot pain is a most unusual presentation of metastatic malignancy. Metastases to the hands or feet (acrometastases) have been recognized in only a few cases. A 68-year-old male, with a history of chronic gout, presented with left foot pain for 3 months duration. After conservative treatment failed to relieve his pain, radiographic and eventual bone biopsy of a cystic lesion involving the first metatarsal head revealed a Grade IV adenocarcinoma.
Kemnitz
M J
MJ
Department of Podiatric Medicine and Surgery, Gundersen Medical Foundation, La Crosse, Wisconsin, USA.
Erdmann
B B
BB
Julsrud
M E
ME
Jacobs
P M
PM
Ringstrom
J B
JB
D000230:Adenocarcinoma / Q000532:radiotherapy / Q000556:secondary*; D000368:Aged; D001859:Bone Neoplasms / Q000532:radiotherapy / Q000556:secondary*; D017809:Fatal Outcome; D005534:Foot Diseases / Q000209:etiology*; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology*; D008297:Male; D008682:Metatarsal Bones