Abstract
Metastatic skeletal adenocarcinoma is an all too common and unfortunate complication
of advanced oncologic states. Mortality rates are usually elevated when bony metastasis
are evident, as this signifies advanced disease. The foot and ankle are uncommon sites
for metastatic deposits, but may occur. As such, the foot and ankle surgeon must be
aware of the potential for such disease, and be able to proceed with an imaging and
medical work-up of the patient with foot and ankle skeletal metastasis. The goal of
treatment is pain relief and the preservation of functional ambulation, which may
greatly enhance the quality of remaining life for patients. A team approach is mandatory
to manage the patients with metastatic disease. We present a case of an elderly male
with a known history of prostate cancer, who presented with unrelenting heel pain,
which upon diagnostic work-up, proved to be progressive calcaneal as well as axial
metastasis after a brief period of clinical remission. Operative management coupled
with palliative radiation and bisphosphonate therapy provided symptomatic pain relief
and maintenance of functional ambulation.
Level of Clinical Evidence
Keywords
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Article info
Publication history
Published online: December 16, 2009
Footnotes
Financial Disclosure: None reported.
Conflict of Interest: None reported.
Identification
Copyright
© 2010 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.
