Presentation of Metastatic Carcinoma as Pedal Stress Fracture and Ingrown Toenail

  • Dianne I. Mitchell
    Address correspondence to: Dianne I. Mitchell, DPM, 1201 Terry Avenue, Seattle, WA 98101.
    Submitted as 3rd Year Surgical Resident at the Encino-Tarzana Regional Medical Center PM&S-36 residency, currently Podiatric Sports Medicine Fellow, Virginia Mason Medical Center, Seattle, Washington.
    Search for articles by this author
  • Philip J. Riley
    Past Director of the Encino-Tarzana Regional Medical Center, PM&S-36 residency, currently Assistant Professor at the East Tennessee State University Quillen College of Medicine, Johnson City, Tennessee.
    Search for articles by this author
      Metastatic lesions localized to the foot are rare. When present, such lesions are typically associated with a poor prognosis. A good history can help guide the clinician when formulating differential diagnoses for a questionable clinical presentation. We report the case of a patient presenting with findings indicative of a metatarsal stress fracture and an ingrown toenail, which eventually resulted in the diagnosis of metastatic disease from the lung. ACFAS Level of Clinical Evidence: 4

      Key Words

      To read this article in full you will need to make a payment


        • Ozdemir H.M.
        • Yildiz Y.
        • Yilmaz C.
        • Saglik Y.
        Tumors of the foot and ankle: analysis of 196 cases.
        J Foot Ankle Surg. 1997; 366: 403-408
        • Shepard D.M.
        • Dzikowski C.M.
        • Chussid F.
        Bronchogenic carcinoma mimicking paronychia and osteomyelitis in the great toe.
        J Am Podiatr Med Assoc. 1997; 362: 115-119
        • Wu K.K.
        Bronchogenic carcinoma with metastases to the foot: a report of two cases.
        J Am Podiatr Med Assoc. 1995; 343: 322-326
        • Batson V.O.
        The function of the vertebral veins and their role in the spread of metastases.
        Ann Surg. 1940; 1121: 138-149
        • Batson O.V.
        The function of the vertebral veins and their role in the spread of metastases. 1940.
        Clin Orthop Relat Res. 1995; 312: 4-9
        • Kaplansky D.B.
        • Kademian M.E.
        • VanCourt R.B.
        Metastatic squamous cell carcinoma resembling cellulitis and osteomyelitis.
        J Foot Ankle Surg. 2006; 453: 182-184
        • Colson G.M.
        • Willcox A.
        Phalangeal metastases in bronchogenic carcinoma: report of three cases.
        Lancet. 1948; 251: 100-102
        • Lewis J.
        • Mendicino R.W.
        Squamous cell carcinoma of the great toe.
        J Am Podiatr Med Assoc. 1994; 335: 482-485