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Case Report

Calcaneal acrometastasis from urothelial carcinoma of the ureter: a case report and literature review

, &
Pages 395-399 | Published online: 12 Apr 2013

Figures & data

Figure 1 Radiograph of the left foot, demonstrating a large lytic lesion and destruction of the calcaneus, the cuboid, and the fifth metatarsal.

Figure 1 Radiograph of the left foot, demonstrating a large lytic lesion and destruction of the calcaneus, the cuboid, and the fifth metatarsal.

Figure 2 Left calcaneal biopsy specimen showing urothelial carcinoma with squamous differentiation.

Notes: Hematoxylin and eosin; magnification 100×.

Figure 2 Left calcaneal biopsy specimen showing urothelial carcinoma with squamous differentiation.Notes: Hematoxylin and eosin; magnification 100×.

Figure 3 Abdominal and pelvic CT scan revealing a left hydronephrosis with renal cortical atrophy and an obstructing mass at the iliac crossing of the left ureter.

Abbreviation: CT, computed tomography.

Figure 3 Abdominal and pelvic CT scan revealing a left hydronephrosis with renal cortical atrophy and an obstructing mass at the iliac crossing of the left ureter.Abbreviation: CT, computed tomography.

Figure 4 Technetium-99m MDP whole body bone scan displaying intense increased radioactive uptake in the left calcaneus with mild increased radioactive uptake in the proximal and distal left fibula with some extension into the shaft.

Abbreviation: MDP, methylene-diphosphonate.
Figure 4 Technetium-99m MDP whole body bone scan displaying intense increased radioactive uptake in the left calcaneus with mild increased radioactive uptake in the proximal and distal left fibula with some extension into the shaft.