Foot pain: uncommon presentation of lung cancer.
Acrometastases is an unusual presentation of bone metastases, specially when they are the unique location of bone metastases. The authors report a case of a men diagnosed with a lung adenocarcinoma with a unique lytic acrometastases in his left foot. He has been treated with systemic chemotherapy with good local and systemic response. The most common sites of bone metastases are the vertebrae, pelvis, ribs, sternum and skull. Bone metastases in the distal regions of the extremities are unusual (from 0.007 to 0.3% of all patients with bone metastases), involving more frequently hands than feet.
Medical Oncology Department, Hospital Universitario La Paz, Madrid, Spain. angelalamarca@hotmail.com
Angela
A
Lamarca
Nadia
N
Hindi
Cristobal
C
Belda-Iniesta
Javier
J
de Castro
D000230:Adenocarcinoma / Q000188:drug therapy / Q000473:pathology* / Q000556:secondary; D000077192:Adenocarcinoma of Lung; D000310:Adrenal Gland Neoplasms / Q000150:complications / Q000188:drug therapy / Q000556:secondary*; D000368:Aged; D000970:Antineoplastic Agents / Q000627:therapeutic use; D050071:Bone Density Conservation Agents / Q000627:therapeutic use; D001859:Bone Neoplasms / Q000150:complications / Q000188:drug therapy / Q000556:secondary*; D002945:Cisplatin / Q000627:therapeutic use; D004164:Diphosphonates / Q000627:therapeutic use; D005528:Foot / Q000473:pathology*; D005971:Glutamates / Q000627:therapeutic use; D006147:Guanine / Q000031:analogs & derivatives / Q000627:therapeutic use; D006801:Humans; D008175:Lung Neoplasms / Q000188:drug therapy / Q000473:pathology* / Q000556:secondary; D008297:Male; D009361:Neoplasm Invasiveness / Q000473:pathology; D010146:Pain / Q000209:etiology*; D000068437:Pemetrexed; D049268:Positron-Emission Tomography; D018570:Risk Assessment; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D000970:Antineoplastic Agents; D050071:Bone Density Conservation Agents; D004164:Diphosphonates; D005971:Glutamates; D000068437:Pemetrexed; D006147:Guanine; D002945:Cisplatin