Metastatic Pulmonary Adenocarcinoma of the Talus: A Case Report

Abstract 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...

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Bibliographic Details
Published in:The Journal of foot and ankle surgery 2017-07, Vol.56 (4), p.827-831
Main Authors: Gan, Kaifeng, MD, Shen, Yandong, MD
Format: Article
Language:English
Subjects:
acrometastasis
Adenocarcinoma - diagnosis
Adenocarcinoma - diagnostic imaging
Adenocarcinoma - secondary
Adenocarcinoma - therapy
Adenocarcinoma of Lung
Aged
ankle
benign bone cyst
Bone Neoplasms - diagnosis
Bone Neoplasms - diagnostic imaging
Bone Neoplasms - secondary
Bone Neoplasms - therapy
foot
Humans
lung cancer
Lung Neoplasms - diagnosis
Lung Neoplasms - diagnostic imaging
Lung Neoplasms - secondary
Lung Neoplasms - therapy
Male
metastasis
Orthopedics
Talus - pathology
tumor
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Description
Summary:Abstract 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.
ISSN:1067-2516
1542-2224
DOI:10.1053/j.jfas.2017.02.002