Metastatic carcinoma to the terminal phalanx of the big toe: report of two cases and review of the literature.

Metastasis to the distal phalanges of the fingers and toes is rare and is associated with a poor prognosis. Phalangeal metastases commonly display inflammatory symptoms that mimic an acute infection. We describe two men with metastasis to the distal phalanx of the great toe. A review of the literature revealed 118 cases of nonmelanoma metastatic tumors to a distal digit.