Malignant tumours of the foot and ankle

Most of tumours of the foot are tumour-like (synovial cyst, foreign body reactions and epidermal inclusion cyst) or benign conditions (tenosynovial giant cells tumours, planta fibromatosis). Malignant tumours of the soft-tissue and skeleton are very rare in the foot and their diagnosis is often dela...

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Autores principales: Mascard, E., Gaspar, N., Brugières, L., Glorion, C., Pannier, S., Gomez-Brouchet, A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: British Editorial Society of Bone and Joint Surgery 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5467685/
https://www.ncbi.nlm.nih.gov/pubmed/28630763
http://dx.doi.org/10.1302/2058-5241.2.160078
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author Mascard, E.
Gaspar, N.
Brugières, L.
Glorion, C.
Pannier, S.
Gomez-Brouchet, A.
author_facet Mascard, E.
Gaspar, N.
Brugières, L.
Glorion, C.
Pannier, S.
Gomez-Brouchet, A.
author_sort Mascard, E.
collection PubMed
description Most of tumours of the foot are tumour-like (synovial cyst, foreign body reactions and epidermal inclusion cyst) or benign conditions (tenosynovial giant cells tumours, planta fibromatosis). Malignant tumours of the soft-tissue and skeleton are very rare in the foot and their diagnosis is often delayed with referral to specialised teams after initial inappropriate procedures or unplanned excisions. The adverse effect of these misdiagnosed tumours is the increasing rate of amputation or local recurrences in the involved patients. In every lump, imaging should be discussed before any local treatment. Every lesion which is not an obvious synovial cyst or plantar fibromatosis should have a biopsy performed. After the age of 40 years, chondrosarcoma is the most usual malignant tumour of the foot. In young patients bone tumours such as osteosarcoma or Ewing’s sarcoma, are very unusually located in the foot. Synovial sarcoma is the most frequent histological diagnosis in soft tissues. Epithelioid sarcoma or clear cell sarcoma, involve more frequently the foot and ankle than other sites. The classic local treatment of malignant conditions of the foot and ankle was below-knee amputation at different levels. Nowadays, with the development of adjuvant therapies, some patients may benefit from conservative surgery or partial amputation after multidisciplinary team discussions. The prognosis of foot malignancy is not different from that at other locations, except perhaps in chondrosarcoma, which seems to be less aggressive in the foot. The anatomy of the foot is very complex with many bony and soft tissue structures in a relatively small space making large resections and conservative treatments difficult to achieve. Cite this article: EFORT Open Rev 2017;2. DOI: 10.1302/2058-5241.2.160078. Originally published online at www.efortopenreviews.org
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spelling pubmed-54676852017-06-19 Malignant tumours of the foot and ankle Mascard, E. Gaspar, N. Brugières, L. Glorion, C. Pannier, S. Gomez-Brouchet, A. EFORT Open Rev Instructional Lecture: Oncology Most of tumours of the foot are tumour-like (synovial cyst, foreign body reactions and epidermal inclusion cyst) or benign conditions (tenosynovial giant cells tumours, planta fibromatosis). Malignant tumours of the soft-tissue and skeleton are very rare in the foot and their diagnosis is often delayed with referral to specialised teams after initial inappropriate procedures or unplanned excisions. The adverse effect of these misdiagnosed tumours is the increasing rate of amputation or local recurrences in the involved patients. In every lump, imaging should be discussed before any local treatment. Every lesion which is not an obvious synovial cyst or plantar fibromatosis should have a biopsy performed. After the age of 40 years, chondrosarcoma is the most usual malignant tumour of the foot. In young patients bone tumours such as osteosarcoma or Ewing’s sarcoma, are very unusually located in the foot. Synovial sarcoma is the most frequent histological diagnosis in soft tissues. Epithelioid sarcoma or clear cell sarcoma, involve more frequently the foot and ankle than other sites. The classic local treatment of malignant conditions of the foot and ankle was below-knee amputation at different levels. Nowadays, with the development of adjuvant therapies, some patients may benefit from conservative surgery or partial amputation after multidisciplinary team discussions. The prognosis of foot malignancy is not different from that at other locations, except perhaps in chondrosarcoma, which seems to be less aggressive in the foot. The anatomy of the foot is very complex with many bony and soft tissue structures in a relatively small space making large resections and conservative treatments difficult to achieve. Cite this article: EFORT Open Rev 2017;2. DOI: 10.1302/2058-5241.2.160078. Originally published online at www.efortopenreviews.org British Editorial Society of Bone and Joint Surgery 2017-05-11 /pmc/articles/PMC5467685/ /pubmed/28630763 http://dx.doi.org/10.1302/2058-5241.2.160078 Text en © 2017 The author(s) https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) licence (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed.
spellingShingle Instructional Lecture: Oncology
Mascard, E.
Gaspar, N.
Brugières, L.
Glorion, C.
Pannier, S.
Gomez-Brouchet, A.
Malignant tumours of the foot and ankle
title Malignant tumours of the foot and ankle
title_full Malignant tumours of the foot and ankle
title_fullStr Malignant tumours of the foot and ankle
title_full_unstemmed Malignant tumours of the foot and ankle
title_short Malignant tumours of the foot and ankle
title_sort malignant tumours of the foot and ankle
topic Instructional Lecture: Oncology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5467685/
https://www.ncbi.nlm.nih.gov/pubmed/28630763
http://dx.doi.org/10.1302/2058-5241.2.160078
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