Bladder cancer presenting with acrometastases: a different cause of foot pain.

Matos, João; Mussetto, Ilaria; Podestà, Raffaella; Schettini, Daria; Gandolfo, Nicoletta · Skeletal Radiol · 2018

case_report · Level V

Where this comes from

Abstract

Acrometastasis means tumor seeding distally to the elbow or the knee and is an uncommon event. Foot acrometastases occur in 0.58% of patients with skeletal metastases overall, and only about 10% of these are caused by bladder cancer. We present a case of bladder cancer manifesting with insidious foot pain, caused by multiple lytic lesions located solely at the left foot. It was suspected after whole-body CT and later confirmed by biopsy result. We enumerate the differential diagnosis of distal extremity lytic lesions for educational purposes and review the literature listing similar published cases.

Medical subject headings

Anatomy