Gan Kaifeng, Shen Yandong
Orthopaedics Resident, Department of Orthopedics, Ningbo Medical Center Lihuili Hospital, Ningbo City, People's Republic of China.
Professor, Department of Orthopedics, Ningbo Medical Center Lihuili Hospital, Ningbo City, People's Republic of China.
J Foot Ankle Surg. 2017 Jul-Aug;56(4):827-831. doi: 10.1053/j.jfas.2017.02.002.
Tumors rarely metastasize to the foot bones; however, a misdiagnosis can lead to a poor outcome. These metastatic tumors can cause foot pain and other symptoms in patients who are asymptomatic for the primary tumor. To accurately diagnose acrometastases, the attending physician must have a high index of suspicion and conduct a thorough examination and appropriate diagnostic testing. We present a rare case of metastatic pulmonary adenocarcinoma of the talus, which was initially misdiagnosed as a benign bone cyst. After pulmonary adenocarcinoma was diagnosed, the patient received multidrug treatment for the primary and metastatic lesions and was still responding well at the 12-month follow-up visit.
肿瘤很少转移至足部骨骼；然而，误诊可能导致不良后果。这些转移性肿瘤可在原发性肿瘤无症状的患者中引起足部疼痛及其他症状。为准确诊断肢端转移瘤，主治医生必须保持高度怀疑，并进行全面检查及适当的诊断测试。我们报告一例罕见的距骨转移性肺腺癌病例，该病例最初被误诊为良性骨囊肿。在诊断为肺腺癌后，患者接受了针对原发性及转移性病灶的多药治疗，在12个月的随访时仍反应良好。
