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Tumors of Foot and Leg

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15 papers 100 to 500 followers Although most types of Tumors are not too common in the lower extremity, here is a collection of typically case studies and management reviews of various Tumors of soft tissue and bone.
By Alex McKanna Podiatry Resident @ Franciscan Alliance/MWU based in Dyer, IN USA
https://www.readbyqxmd.com/read/25802526/isolated-rheumatoid-nodules-a-diagnostic-dilemma
#1
Michael Gale, Erin Gilbert, David Blumenthal
We present a 27-year-old male with multiple nonpainful soft tissue masses over several metacarpals, bilateral elbows, the left wrist, and both knees since the age of 4. Physical exam was significant for firm, nonmobile, nodular growths over the extensor surfaces of bilateral elbows and knees and on the 2nd and 5th metacarpal phalangeal joints. Laboratory studies revealed an unremarkable rheumatoid factor, negative ANA screening and normal joint radiographs. Differential diagnosis included subcutaneous granuloma annulare (SGA), seronegative rheumatoid nodule, and calcinosis cutis...
2015: Case Reports in Medicine
https://www.readbyqxmd.com/read/25867903/atypical-localization-of-enchondroma-in-the-calcaneus
#2
Burak Kaymaz, Erkam Komurcu, Umut Hatay Golge, Ferdi Goksel, Mustafa Resorlu, Nihal Kılınç
A 53-year-old man presented to the orthopedic outpatient clinic with pain and swelling in the right heel without any trauma. On physical examination and radiologic assessment, a lesion with calcification and peripheral sclerosis was detected in the medullary cavity of the calcaneus, and computed tomographic images revealed cortical thinning adjacent to the lesion. Magnetic resonance images showed a 23 × 19-mm lesion. Tru-Cut biopsy, performed to clarify the diagnosis, revealed an enchondroma. As a definitive treatment, curettage of the lesion and grafting of the cavity was performed...
April 13, 2015: Journal of the American Podiatric Medical Association
https://www.readbyqxmd.com/read/25831003/onychomatricoma-a-tumor-unknown-to-dermatologists
#3
Glaysson Tassara Tavares, Nilton Gioia Di Chiacchio, Nilton Di Chiacchio, Marcos Vilela de Souza
A sixty-one year old white female was referred to the Dermatology Department to treat an ingrown nail in the inner corner of the left hallux. Examination of the entire nail unit showed the presence of xanthonychia in the outer corner besides thickening and increase in the transverse curvature of the nail plate. Dermoscopy and nuclear magnetic resonance of the free edge of the nail plate detected characteristic signs of onychomatricoma, a diagnosis that was later confirmed by anatomopathological exam.
March 2015: Anais Brasileiros de Dermatologia
https://www.readbyqxmd.com/read/25827294/three-dimensional-printed-calcaneal-prosthesis-following-total-calcanectomy
#4
Jungo Imanishi, Peter F M Choong
INTRODUCTION: The majority of patients with extremity sarcoma can be surgically treated without amputation. However, limb-salvage surgery for foot sarcomas including the calcaneus remains challenging. PRESENTATION OF CASE: A 71-year-old man presented with a 5-year history of right heel persistent pain. Imaging studies revealed an osteolytic, destructive and highly metabolic lesion in the right calcaneus. Computed tomography guided core needle biopsy confirmed the diagnosis of grade 2 chondrosarcoma...
2015: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/25813262/-a-rare-case-of-multiple-myeloma-multiple-solitary-plasmacytomas-of-distal-extremities
#5
Štěpán Hrabovský, Zdeněk Řehák, Jakub Stulík, Jiří Prášek, Jiří Mayer
This article describes a case of 68-years-old male with very atypic variation of multiple myeloma occuring as multifocal osteolysis limited to tibiae, cuboid bone, radius and ulna, in the absence of diffuse bone marrow infiltration. The main goal of this article is to point out the importance of permanent awareness during diagnostics and treatment of this insidious disease.
February 2015: Vnitr̆ní Lékar̆ství
https://www.readbyqxmd.com/read/25780542/chondroblastoma-of-the-navicular-bone
#6
Xiao Na Li, Zhi Gang Peng, Jing Pin Zhao, Ze Kun Zhang
This is a case report of a 24-year-old man who presented with increased pain and firm swelling of the right foot after a minor twisting injury. Radiography, computed tomography (CT) and magnetic resonance imaging (MRI) findings showed ancillary information that was helpful for surgical treatment. The final diagnosis was confirmed as chondroblastoma of the navicular bone based on the pathology report. The navicularbone is a very rare site in the foot, where we should pay attention to chondroblastoma.
December 2014: Iranian Journal of Radiology: a Quarterly Journal Published By the Iranian Radiological Society
https://www.readbyqxmd.com/read/25664195/intraosseous-ganglion-of-the-distal-tibia-clinical-radiological-and-operative-management
#7
Sedeek Mohamed Sedeek, Q Choudry, S Garg
Intraosseous ganglia are benign cystic lesions located in the subchondral bone. Intraosseous ganglion cysts of the ankle are relatively uncommon. We present a case of recurrent intraosseous ganglion in the ankle of a 41-year-old female who had recurrence after initial surgery. She was treated effectively by curettage and autogenous cancellous bone grafting. At the final follow-up, satisfactory results were obtained with no recurrence or complications.
2015: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/25638776/treatment-of-unicameral-bone-cysts-of-the-calcaneus-a-systematic-review
#8
REVIEW
David M Levy, Christopher E Gross, David N Garras
The calcaneus is the most common tarsal affected by unicameral bone cysts (UBCs); however, the treatment of calcaneal UBCs remains controversial. The purpose of the present systematic review was to evaluate the treatment modalities for calcaneal UBCs. A systematic review was performed using clinical studies of calcaneal UBCs with a minimum of 1 year of follow-up and level I to IV evidence. Ten studies with 171 patients (181 cysts) were selected. Heel pain and radiographic cyst consolidation were the primary outcomes...
July 2015: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/25637030/intra-articular-post-traumatic-ankle-joint-mass-imitating-localized-pigmented-villonodular-synovitis-lpvs-the-aid-of-ankle-arthroscopy-for-diagnosis-and-treatment-a-case-report
#9
Franceska Zampeli, Dimitrios Giotis, Georgios Mantellos, Paraskevi Kosta, Anastasios D Georgoulis
Intra-articular post-traumatic ankle joint mass is a rare entity that may mimic other pathologies, mainly localized form of pigmented villonodular synovitis (LPVS) regarding the clinical and imaging characteristics. We report the case of a 16-year-old female patient that presented an intra-articular ankle joint mass 8 months after an ankle joint sprain for which magnetic resonance imaging (MRI) suggested LPVS as possible diagnosis due to the presence of hemosiderin deposits. Diagnosis of a post-traumatic hematoma of her ankle joint was made via fine needle aspiration (FNA) biopsy and anterior ankle arthroscopy...
March 2015: Foot
https://www.readbyqxmd.com/read/25624038/calcaneal-chondroblastoma-with-pathologic-fracture-and-recurrence
#10
Laksha Dutt, Valerie L Schade, Mark W Manoso
Chondroblastomas account for <2% of all bone tumors. The calcaneus is the fifth most common location of occurrence. Males in their second decade of life are most often affected, presenting with an insidious onset of localized pain, swelling, and tenderness. The finding of associated pathologic fracture has been rare. Imaging studies can aid in the formulation of the differential diagnosis and surgical plan. The definitive diagnosis requires histologic examination. Curettage and bone grafting is curative in >80% of cases...
March 2015: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/24680637/carcinoma-cuniculatum-an-atypical-presentation-in-the-foot
#11
Eric J Thomas, Nathan C Graves, Stephen M Meritt
Carcinoma cuniculatum is a rarely occurring, low-grade variant of squamous cell carcinoma most commonly found in the forefoot. It should be suspected in the differential diagnosis for chronic nonhealing verrucous wounds. The initial diagnosis of carcinoma cuniculatum is difficult and often delayed and can require repeated histopathologic evaluation by an experienced pathologist. In many cases, the final diagnosis will be made from the microscopic findings correlated with the clinical examination findings. Metastasis from carcinoma cuniculatum is rare, although it can invade deep into the soft tissues and can extend to the bone...
May 2014: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/24656765/giant-schwannoma-of-the-first-metatarsal-a-rare-entity
#12
Mohammed Tahir Ansari, Shishir Rastogi, Shah Alam Khan, Chandershekhar Yadav, Laxman Rijal
Schwannomas of osseous origin are rare, and schwannomas of the short tubular bones are even rarer. These benign-looking tumors are difficult to diagnose using imaging alone. However, histopathologic evaluation of a biopsy specimen can establish the diagnosis by identifying Antoni type A and B zones. Curettage and bone grafting will probably be adequate for treatment because malignant changes are unlikely. Large lesions can require en bloc excision and reconstruction. We describe what appears to be only the second case of a schwannoma in the first metatarsal of the foot in a 48-year-old woman...
May 2014: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/23687342/atypical-presentation-of-verrucous-carcinoma-a-case-study-and-review-of-the-literature
#13
REVIEW
Keith E Penera, Karim A Manji, Alex B Craig, Rebecca A Grootegoed, Troy R Leaming, Garrett A Wirth
UNLABELLED: Verrucous carcinoma is a slow-growing lesion that is most often found on the weight-bearing surface of the foot and should be considered in the differential diagnosis for chronic nonhealing wounds in the diabetic neuropathic population. Accurate diagnosis may be difficult initially and often requires repeat histopathologic evaluation by an experienced pathologist. Verrucous carcinoma can invade deeper tissues; however, extension to bone is a rare occurrence. The authors present a case report of an atypical verrucous carcinoma on the dorsal aspect of the foot and a review of the literature...
August 2013: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/23399397/current-management-strategies-for-verrucous-hyperkeratosis-and-verrucous-carcinoma
#14
REVIEW
James J Sciubba, Joseph I Helman
Proliferative verrucous leukoplakia, a lesion of unknown origin with no strictly defined diagnostic criteria, is worthy of great clinical concern and scrutiny. Treatment options vary, with no consensus regarding the most efficient and effective strategy. Further complicating the unusual biology and behavior of this lesion is its usual multifocal presentation and progression, with lifelong vigilance required after treatment. Verrucous carcinoma is a progressive lesion with high recurrence and 5-year survival rates...
February 2013: Oral and Maxillofacial Surgery Clinics of North America
https://www.readbyqxmd.com/read/20650661/operative-treatment-for-ganglion-cysts-of-the-foot-and-ankle
#15
Jae Hoon Ahn, Won-Sik Choy, Ha-Yong Kim
The authors analyzed the clinical results of surgical excision for symptomatic or recurrent ganglion cysts of the foot and ankle, and tried to elucidate the prognostic factors. Fifty-three cases of ganglions in the foot and ankle were followed for more than 24 months after excision. The mean duration of follow-up was 3.7 years. As a preceding treatment, 17 cases received a mean of 1.3 aspirations, and 16 cases recurred after a mean of 1.7 operations. The cyst was most common in the dorsum of the foot and ankle, where 35 cases were found...
September 2010: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
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