Acrometastasis from a Pancreatic Primary Adenocarcinoma: A First Report in the Literature

A seventy five year male presented with acute onset right foot pain and swelling. Plain imaging revealed a lytic area in the medial and middle cuneiform bones of the right foot. Background history of resected pancreatic cancer and current presentation were consistent early diffuse disease recurrence of a pancreatic primary tumour. The presenting feature in this case was of symptomatic acrometastases, that is, metastases to the feet. Acrometastases have been described in association with multiple primary tumours, but not pancreatic cancer. Our case highlights rare sites of metastatic disease secondary to pancreatic cancer, and we review the literature.