Kemnitz M J, Erdmann B B, Julsrud M E, Jacobs P M, Ringstrom J B
Department of Podiatric Medicine and Surgery, Gundersen Medical Foundation, La Crosse, Wisconsin, USA.
J Foot Ankle Surg. 1996 May-Jun;35(3):210-2. doi: 10.1016/s1067-2516(96)80098-6.
Foot pain is a most unusual presentation of metastatic malignancy. Metastases to the hands or feet (acrometastases) have been recognized in only a few cases. A 68-year-old male, with a history of chronic gout, presented with left foot pain for 3 months duration. After conservative treatment failed to relieve his pain, radiographic and eventual bone biopsy of a cystic lesion involving the first metatarsal head revealed a Grade IV adenocarcinoma.