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  • Title: Big toe metastases as first clinical sign of occult bronchogenic carcinoma.
    Author: Mir NA, Baba AN, Ahmad SM, Paljor SD, Bhat JA.
    Journal: J Coll Physicians Surg Pak; 2010 Oct; 20(10):699-700. PubMed ID: 20943119.
    Abstract:
    Metastasis to bone is a common manifestation of malignant tumours. However, metastasis to the bones of the foot is exceedingly rare. It usually arise from genitourinary tract and colon, with the tarsal bones accounting for half of all metastases. We report a rare case of pain and destruction of the distal phalanx of great toe, initially suspected as osteomyelitis, which on biopsy proved to be metastases from a clinically silent bronchogenic carcinoma.
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