title: Adenocarcinoma of the lung with metatarsal metastasis.
abstract: 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.
authors.affiliation: Department of Podiatric Medicine and Surgery, Gundersen Medical Foundation, La Crosse, Wisconsin, USA.
authors.forename: M J
authors.initials: MJ
authors.lastname: Kemnitz
authors.forename: B B
authors.initials: BB
authors.lastname: Erdmann
authors.forename: M E
authors.initials: ME
authors.lastname: Julsrud
authors.forename: P M
authors.initials: PM
authors.lastname: Jacobs
authors.forename: J B
authors.initials: JB
authors.lastname: Ringstrom
mesh_terms: 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