Distal appendicular metastasis: metatarsal

Case contributed by Dr Abhijit Datir

There is an osteoblastic sunburst periosteal reaction and bony destruction of the 2nd metatarsal midshaft.

Case Discussion

This was a metastasis from a small cell malignancy of lung.

When not due to primary bone tumours, these appearances are typically seen in hypervascular bone metastasis. The primary malignancy is often renal, thyroid and rarely lung. Considering the location, the distal appendicular skeletal metastases are most often seen in advanced lung cancer.

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Case information

rID: 7646
Case created: 16th Nov 2009
Last edited: 4th Oct 2015
Tag: foot
Inclusion in quiz mode: Included

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