Abstract
Metastatic carcinoma to the foot is a rarely reported event, and may easily be mistaken for more common problems such as acute gout. Furthermore current emphasis on PET scanning for tumor surveillance may not include the distal lower extremities. The author presents two cases of metastatic lung cancer to the distal lower extremity that were initially thought to represent gout.
Highlights
Bone metastases are very common in some cancers, occurring in 65-75% of prostate and breast malignancies [1]
There are scattered case reports of lung carcinoma metastatic to the feet, and almost universally the diagnosis is delayed by mistaking the pain for more common problems, especially gout [3,4,5,6,7,8,9]
This paper presents two patients who presented with foot pain initially felt to be gout but proven to be metastatic lung carcinoma
Summary
Bone metastases are very common in some cancers, occurring in 65-75% of prostate and breast malignancies [1]. There are scattered case reports of lung carcinoma metastatic to the feet, and almost universally the diagnosis is delayed by mistaking the pain for more common problems, especially gout [3,4,5,6,7,8,9]. This paper presents two patients who presented with foot pain initially felt to be gout but proven to be metastatic lung carcinoma.
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