title: Presentation of metastatic carcinoma as pedal stress fracture and ingrown toenail.
abstract: Metastatic lesions localized to the foot are rare. When present, such lesions are typically associated with a poor prognosis. A good history can help guide the clinician when formulating differential diagnoses for a questionable clinical presentation. We report the case of a patient presenting with findings indicative of a metatarsal stress fracture and an ingrown toenail, which eventually resulted in the diagnosis of metastatic disease from the lung. ACFAS Level of Clinical Evidence: 4.
authors.affiliation: Encino-Tarzana Regional Medical Center. sivad00@aol.com
authors.forename: Dianne I
authors.initials: DI
authors.lastname: Mitchell
authors.forename: Philip J
authors.initials: PJ
authors.lastname: Riley
mesh_terms: D000368:Aged; D017809:Fatal Outcome; D005528:Foot / Q000473:pathology*; D015775:Fractures, Stress / Q000175:diagnosis*; D006801:Humans; D008175:Lung Neoplasms / Q000175:diagnosis* / Q000473:pathology; D008297:Male; D008682:Metatarsal Bones / Q000293:injuries* / Q000601:surgery; D009263:Nails, Ingrown / Q000175:diagnosis*; D012878:Skin Neoplasms / Q000556:secondary*; D014034:Toes / Q000473:pathology*