title: Tarsal metastases in a patient with rectal cancer.
abstract: Bone metastases from colorectal cancer are uncommon and usually present late in the natural history of metastatic disease. This case report describes a 48-year-old man who developed an unusual distribution of bony metastases with multifocal osteolytic tarsal metastases 50 months after excision of a rectal carcinoma. An open biopsy was required to establish the diagnosis, exclude osteomyelitis and allow palliative radiotherapy to be given.
authors.affiliation: Department of Radiotherapy, St Bartholomew's Hospital, London, UK.
authors.forename: D J
authors.initials: DJ
authors.lastname: Sebag-Montefiore
authors.forename: K S
authors.initials: KS
authors.lastname: Lam
authors.forename: S J
authors.initials: SJ
authors.lastname: Arnott
mesh_terms: D000230:Adenocarcinoma / Q000556:secondary*; D001859:Bone Neoplasms / Q000556:secondary*; D017809:Fatal Outcome; D005534:Foot Diseases / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012004:Rectal Neoplasms / Q000473:pathology*; D013639:Tarsal Bones