title: Bilateral acrometastasis in a case renal cell carcinoma.
abstract: We present a unique case of bilateral skeletal metastasis below the knee in a patient with renal cell carcinoma. In this rarest of rare cases, bony metastases were the first presentation of a primary tumour. Incidentally, the primary tumour (renal cell carcinoma) involved the solitary kidney of the patient and the same patient also had coexisting carcinoma of the prostate.
authors.affiliation: Department of Orthopaedic & Joint Replacement Surgery, Indraprastha Apollo Hospitals, New Delhi, India.
authors.forename: Raju
authors.initials: R
authors.lastname: Vaishya
authors.affiliation: Department of Orthopaedic & Joint Replacement Surgery, Indraprastha Apollo Hospitals, New Delhi, India.
authors.forename: Vipul
authors.initials: V
authors.lastname: Vijay
authors.affiliation: Department of Orthopaedics, Sancheti Hospital, Pune, Maharashtra, India.
authors.forename: Abhishek
authors.initials: A
authors.lastname: Vaish
mesh_terms: D000368:Aged; D001706:Biopsy; D001859:Bone Neoplasms / Q000175:diagnosis* / Q000532:radiotherapy / Q000556:secondary*; D002292:Carcinoma, Renal Cell / Q000175:diagnosis* / Q000473:pathology* / Q000532:radiotherapy; D017809:Fatal Outcome; D006801:Humans; D007668:Kidney / Q000000981:diagnostic imaging; D007680:Kidney Neoplasms / Q000175:diagnosis* / Q000473:pathology* / Q000532:radiotherapy; D007866:Leg / Q000000981:diagnostic imaging / Q000473:pathology; D008297:Male; D064847:Multimodal Imaging / Q000379:methods; D009102:Multiple Organ Failure; D049268:Positron-Emission Tomography / Q000379:methods; D014057:Tomography, X-Ray Computed / Q000379:methods