Hand and foot acrometastases in a patient with bronchial carcinoma

The occurrence of acrometastases in a patient with bronchial carcinoma is rare but well known. Lung tumours however seldom give rise to foot metastases. The simultaneous occurrence of both hand and foot metastases in the same patient is extremely rare. We describe a patient with epidermoid epithelioma of the lung who developed such lesions as the first manifestation of metastatic disease.