TARSAL METASTASES IN A PATIENT WITH RECTAL-CANCER

Bone metastases from colorectal cancer are uncommon and usually presen t late in the natural history of metastatic disease. This case report describes a 48-year-old man who developed an unusual distribution of b ony metastases with multifocal osteolytic tarsal metastases 50 months after excision of a rectal carcinoma. An open biopsy Nas required to e stablish the diagnosis, exclude osteomyelitis and allow palliative rad iotherapy to be given.