Vol 32| Issue 1 | Jan – June 2019 | page: 27-29 | Tony Kavalakkatt, Neena Mampilly, Praphul G Das, Mohamed Mansoof Kanakkayil

Authors: Tony Kavalakkatt [¹], Neena Mampilly [¹], Praphul G Das [¹], Mohamed Mansoof Kanakkayil [¹]

[1] Department Of Orthopaedics,
Baby Memorial Hospital, Calicut, Kerla, India.

Address of Correspondence
Dr. Tony Kavalakkatt,
Department Of Orthopaedics,
Baby Memorial Hospital, Calicut, Kerla, India.


Introduction: Acrometastasis is a rare phenomenon accounting to only 0.1% of metastatic disease. Every age can be affected and it has a male predominance. Acrometastasis is a sign of poor prognosis as it appears in patients with
widespread disease although rarely, it may be the first sign of occult malignancy in 10% of cases.
Case Report: A 54-year-old non-smoker female presented with swelling and pain right foot of 2-month duration with radiographic appearance of a radiolucent lesion involving the whole of calcaneum. Extended curettage and filling with bone cement were done. Biopsy showed metastatic adenocarcinoma. Computed tomography (CT)thorax showed primary lesion in the left lung and multiple secondaries involving dorsal vertebrae and thyroid confirmed by immuno histo-chemistry. Oncology consultation was done and the patient was started on palliative chemotherapy.
Discussion: Bone is a common site of metastasis occurring in up to 30% of people with malignancy, but acrometastasis is rare. Patients present with symptoms mimicking benign lesions like infection, and hence, diagnosis is challenging without a high index of clinical suspicion.
Conclusion: Although acrometastasis occurs in the late stage of malignancy, rarely, it can be the first sign of an occult malignancy and timely diagnosis and intervention may facilitate better long-term survival and symptomatic
Keywords: Acrometastasis, Calcaneum, Lung cancer.


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How to Cite this Article: Kavalakkatt T, Mampilly N, Das P G, Kanakkayil M M. Acrometastasis. Kerala Journal of
Orthopaedics Jan-June 2019; 32(1): 27-29.

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