case_images: PMC5512023_01
case_images: Plain radiographs of the left foot show destruction of the first distal phalanx.
case_images: CRIU2017-7830207.001.jpg
case_images: PMC5512023_01_CRIU2017-7830207.001.jpg
case_images: fig1
case_images: Radiographs also showed irregular osteolysis in the cortices of his left distal tibia and fibula, which strongly indicated bone metastases (Figures 1 and 2).
case_images: Plain radiographs of right distal ulna and the left lower leg show irregular osteolysis.
case_images: CRIU2017-7830207.002.jpg
case_images: PMC5512023_01_CRIU2017-7830207.002.jpg
case_images: fig2
case_images: Radiographs also showed irregular osteolysis in the cortices of his left distal tibia and fibula, which strongly indicated bone metastases (Figures 1 and 2).
case_images: T1-weighted magnetic resonance imaging of the left foot shows low intensity in the first distal phalanx.
case_images: CRIU2017-7830207.003.jpg
case_images: PMC5512023_01_CRIU2017-7830207.003.jpg
case_images: fig3
case_images: On foot magnetic resonance images, bone metastasis of the left big toe was observed spreading across the distal phalanx (Figure 3).
case_images: Photograph of the left foot. Subungual hemorrhage from the metastasis, which required a change of dressing on a daily basis, was observed.
case_images: CRIU2017-7830207.004.jpg
case_images: PMC5512023_01_CRIU2017-7830207.004.jpg
case_images: fig4
case_images: As we considered that it would be difficult to control hemorrhaging with radiation therapy alone (Figure 4), we dissected the distal phalanx.