Acrometastasis as the First Presentation of Renal Cell Carcinoma

Abstract

Acrometastasis is the term used to describe secondaries present distal to the knee or elbow [1-3]. The occurrence of this is extremely rare. This accounts for 0.1% of all secondaries to the bone [1-5]. The presence of acrometastasis is considered to be a sinistrous sign and correlates with the advanced stage of the disease condition [1, 2, 5]. The majority of acrometastasis is from lung and gastrointestinal malignancies [1-3]. We present a case of a gentleman in his early 60’s, who presented with acrometastasis as the first sign of renal cell carcinoma.