Carlesimo B, Tempesta M, Fioramonti P, Bistoni G, Ruggiero M, Marchetti F
"Sapienza" Università di Roma, Policlinico Umberto l di Roma, Cattedra Chirurgia Plastica Ricostruttiva ed Estetica.
G Chir. 2009 Nov-Dec;30(11-12):487-9.
Breast cancer represents the most prevalent malignancies in women and bone is the first site of metastasis in 26-50% of cases. Usually metastasis involve limbs in 16%. We present a rare case of 47-year-old woman, who underwent to monolateral mastectomy for lobular cancer. After 8 years from surgery, she presented pain, swelling and functional limitations, gradually increasing, to the left big toe. X-rays and MRI showed a lucent area of bone destruction on the shaft of the distal phalanx of the left big toe. Surgical biopsy on the excised bone assessed for breast cancer metastasis.