Adenocarcinoma of the colon metastasizing to the foot masquerading as osteomyelitis

A TutejaDepartment of Medicine, St. Vincent Hospital and Medical Center, Portland, OR, USA.

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M OwingsDepartment of Medicine, St. Vincent Hospital and Medical Center, Portland, OR, USA.

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J PulliamDepartment of Medicine, St. Vincent Hospital and Medical Center, Portland, OR, USA.

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L ElzingaDepartment of Medicine, St. Vincent Hospital and Medical Center, Portland, OR, USA.

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The authors report an unusual case of adenocarcinoma of the colon metastasizing to the foot. The initial diagnosis of osteomyelitis based on clinical, radiographic, and radionuclide uptake findings led to improper prolonged treatment, resulting in a major complication. A diagnostic biopsy of the involved bone is essential in any case in which the clinical diagnosis is uncertain.