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Published on: April 27, 2014
Bladder cancer presenting with acrometastases: a different cause of foot pain
João Matos1, Ilaria Mussetto2, Raffaella Podestà3
1Dipartimento di Scienze della Salute, Universita degli Studi di Genova, Via Antonio Pastore, 1, 16132, Genoa, Italy. jfgavinadematos@gmail.com.
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.
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