Rare foot metastasis from breast cancer: A case report and diagnostic challenges
Author(s): Pedro Freixo Ribeiro, Carlos Neri and Otília Romano
Abstract: Bone metastases are a common manifestation in advanced solid malignancies, but metastases to the foot are exceedingly rare, accounting for only 0.007% to 0.3% of cases. This case report describes a 65-year-old woman with a history of breast cancer treated in 1994, who presented with progressive left ankle pain 30 years after initial treatment. Imaging studies revealed increased uptake in the left tibiotalar region, with MRI confirming extensive metastatic involvement of the distal tibia, fibula, talus, anterior calcaneal process, and tarsal bones. Diagnosing foot metastases is challenging due to their rarity, non-specific symptoms, and potential to mimic other conditions. This report highlights the importance of maintaining a high index of suspicion for metastatic disease in patients with persistent bone pain and a history of cancer. Multidisciplinary management is essential for optimizing patient outcomes and addressing the complex needs of patients with rare metastatic presentations.
Pedro Freixo Ribeiro, Carlos Neri, Otília Romano. Rare foot metastasis from breast cancer: A case report and diagnostic challenges. Int J Case Rep Orthop 2024;6(2):140-142. DOI: 10.22271/27078345.2024.v6.i2c.234