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Presentation of Metastatic Carcinoma as Pedal Stress Fracture and Ingrown Toenail

  • Dianne I. Mitchell
    Correspondence
    Address correspondence to: Dianne I. Mitchell, DPM, 1201 Terry Avenue, Seattle, WA 98101.
    Affiliations
    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.
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  • Philip J. Riley
    Affiliations
    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.
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      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

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