Adenocarcinoma of the lung with metastasis to the foot: A case report

The current case report describes the rare complication of acrometastasis of lung cancer and to raise the index of suspicion in patients with a localized, painful mass of the foot and a prior history of cancer. This is a case report of a 60-year old diabetic woman who initially presented with a painful lump of the distal hallux that had been present for 6 months. She had a known diagnosis of adenosquamous carcinoma of the lung with sarcomatoid component with a recently diagnosed metastasis to the brain. The patient initially underwent excision of the mass in toto only to develop local recurrence 6 months later. She subsequently underwent a formal hallux amputation. The patient passed away 2.5 years following her amputation.