title: Acrometastasis to the foot: three case reports with primary colon cancer.
abstract: Acrometastasis (metastasis to the hand or foot) is a rare occurrence; however, bone is a common site of metastatic disease, which occurs in up to 30% of patients with malignancy. Although acrometastasis is rare, a high clinical suspicion must exist, especially in evaluating a patient with a known history of cancer. The diagnosis may be difficult and prolonged, which may ultimately affect the patient's outcome. Misdiagnosis of acrometastasis seems to be a common problem. Early diagnosis and treatment is important for improving quality of life in these patients. The authors report 3 cases of acrometastasis from a rare source, the colon.
authors.affiliation: Carolinas Medical Center, Department of Orthopaedics, Charlotte, North Carolina, USA. kentellington@yahoo.com
authors.forename: J Kent
authors.initials: JK
authors.lastname: Ellington
authors.forename: Kent
authors.initials: K
authors.lastname: Ellington
authors.forename: Jeffrey S
authors.initials: JS
authors.lastname: Kneisl
mesh_terms: D000230:Adenocarcinoma / Q000556:secondary* / Q000601:surgery; D000368:Aged; D000369:Aged, 80 and over; D001859:Bone Neoplasms / Q000175:diagnosis / Q000556:secondary* / Q000601:surgery; D002111:Calcaneus / Q000473:pathology; D003110:Colonic Neoplasms / Q000473:pathology*; D017809:Fatal Outcome; D005534:Foot Diseases / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008113:Liver Neoplasms / Q000556:secondary; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D012004:Rectal Neoplasms / Q000473:pathology*