Foot pain as first presenting symptom of renal cell carcinoma, due to metastatic lesion in medial cuneiform

Abstract

Metastatic renal cell carcinoma (RCC) lesions in the foot are a rare entity and uncommon finding in a series of foot radiographs ordered to investigate foot pain.We report the case of a 72 year old male who experienced left foot pain for a year, before developing intermittent haematuria and right flank pain, and subsequently being found to have right RCC with an osseous metastatic lesion in the left medial cuneiform.This case highlights the importance of the reporting radiologist considering metastatic disease in the differential for chronic foot pain. Diagnostic imaging workup and biopsy allowed for appropriate diagnosis and treatment in this case.