title: Isolated Calcaneal Metastasis: An Unusual Presentation of Lung Carcinoma as Heel Pain.
abstract: A 63-year-old woman initially presented with progressive left foot pain for 3 months, not responding to conservative management. MRI of the left foot showed a suspicious lesion in calcaneus. An open biopsy was consistent with metastatic lung adenocarcinoma. Tc-MDP total-body bone scintigraphy was ordered for possible other bony lesions, and only left calcaneus lesion was identified on bone scan. CT scan of the chest revealed a soft tissue mass in the superior aspect of the right lower lobe. Staging FDG PET/CT showed hypermetabolic right lung mass and left calcaneus lesion. She received chemotherapy and local radiation to the left calcaneus metastatic lesion.
authors.affiliation: From the Department of Diagnostic Radiology and Nuclear Medicine, Rush University Medical Center, Chicago, IL.
authors.forename: Charanjeet
authors.initials: C
authors.lastname: Singh
authors.forename: Mamta
authors.initials: M
authors.lastname: Gupta
authors.forename: Jagadeesh
authors.initials: J
authors.lastname: Singh
authors.forename: Amjad
authors.initials: A
authors.lastname: Ali
mesh_terms: D000230:Adenocarcinoma / Q000000981:diagnostic imaging* / Q000473:pathology; D000077192:Adenocarcinoma of Lung; D001859:Bone Neoplasms / Q000000981:diagnostic imaging* / Q000556:secondary; D002111:Calcaneus / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D064847:Multimodal Imaging; D010146:Pain / Q000000981:diagnostic imaging*; D049268:Positron-Emission Tomography; D019275:Radiopharmaceuticals; D013669:Technetium Tc 99m Medronate; D014057:Tomography, X-Ray Computed
chemical_list: D019275:Radiopharmaceuticals; D013669:Technetium Tc 99m Medronate