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BMJ Case Reports 2012; doi:10.1136/bcr.12.2011.5360
  • Unusual presentation of more common disease/injury

Foot pain: uncommon presentation of lung cancer

  1. Javier de Castro
  1. Medical Oncology Department, Hospital Universitario La Paz, Madrid, Spain
  1. Correspondence to Dr Angela Lamarca, angelalamarca{at}hotmail.com

Summary

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.

Footnotes

  • Competing interests None.

  • Patient consent Obtained.

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