title: Isolated talus metastasis from breast carcinoma: a case report and review of the literature.
abstract: BACKGROUND
  Acrometastases are very rare and have been identified in only a few cases on the foot. At the onset, they might be misdiagnosed as arthritis.
  
  
  METHODS
  A 59-year-old woman with isolated metastasis to the talus, originating from breast carcinoma was treated by radiotherapy, letrazole, and intravenous bisphosphonates.
  
  
  RESULTS
  The review of the literature revealed that this is the first case of an isolated metastasis to the bone of talus from a breast carcinoma, while there are a few cases originating from other organs. The differential diagnosis of acrometastases may be difficult.
  
  
  CONCLUSIONS
  Pain in the foot or hand of a patient with a known history of malignancy should be considered as potential metastasis.
authors.affiliation: Department of Radiotherapy, Aretaieion Hospital, Medical School, University of Athens, Greece. johnkouv@aretaieio.uoa.gr
authors.forename: John R
authors.initials: JR
authors.lastname: Kouvaris
authors.forename: Vassilis E
authors.initials: VE
authors.lastname: Kouloulias
authors.forename: Xenofon N
authors.initials: XN
authors.lastname: Papacharalampous
authors.forename: Helen A
authors.initials: HA
authors.lastname: Koutselini
authors.forename: Constantine S
authors.initials: CS
authors.lastname: Gennatas
authors.forename: George S
authors.initials: GS
authors.lastname: Limouris
authors.forename: Lambros J
authors.initials: LJ
authors.lastname: Vlahos
mesh_terms: D001859:Bone Neoplasms / Q000175:diagnosis* / Q000556:secondary* / Q000628:therapy; D001943:Breast Neoplasms / Q000175:diagnosis*; D002277:Carcinoma / Q000175:diagnosis* / Q000556:secondary* / Q000628:therapy; D005260:Female; D006801:Humans; D008875:Middle Aged; D013628:Talus; D016896:Treatment Outcome