An epidemiological review of 623 foot and ankle soft tissue tumours and pseudo-tumours

Tay, Adriel You Wei; Tay, Kae Sian; Thever, Yogen; Hao, Ying; Yeo, Nicholas Eng Meng

doi:10.1016/j.fas.2020.05.004

Cited by 7 publications

(13 citation statements)

References 13 publications

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“…The most important tasks of the radiologist at the time of primary presentation are to (1) follow an optimized and standardized imaging algorithm (including a potential recommendation for the assessment of histology, often by image-guided biopsy), which leads to a timely correct diagnosis of the entity, and (2) perform a correct radiologic staging (both local and whole body).…”

Section: General Presurgical Considerationsmentioning

confidence: 99%

“…The vast majority of those changes result from tumor-simulating lesions, especially from ganglia, or from traumatic or inflammatory conditions. 1 Keep in mind that malignant lesions are often small and sharply demarcated (►Fig. 1).…”

Section: Clinical Situation and Algorithms For Imagingmentioning

confidence: 99%

“…1 Keep in mind that malignant lesions are often small and sharply demarcated (►Fig. 1). An initial misdiagnosis in nonspecialized institutions often results in inappropriate procedures.…”

Section: Clinical Situation and Algorithms For Imagingmentioning

confidence: 99%

“…16 Most foot and ankle soft tissue masses are benign. 1 A larger size soft tissue mass, increasing age, and male sex are significant predictors of malignancy of the lesion. Threshold values in predicting malignancy in this region are a size of 4.0 cm and 66 years of age.…”

Section: Soft Tissue Tumor Entities In the Foot And Ankle Regionmentioning

confidence: 99%

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Presurgical Perspective and Posttreatment Evaluation of Soft Tissue Tumors of the Ankle and Foot in Adults

Noebauer-Huhmann

Grieser

Panotopoulos

et al. 2022

Semin Musculoskelet Radiol

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This article discusses soft tissue tumors of the ankle and foot region in adults, including tumors of the joints, and also briefly addresses tumor-simulating lesions. We offer general recommendations and describe specific aspects of common entities in that region, such as typical imaging appearance, therapeutic strategies, and posttherapeutic considerations. Focal masses and diffuse swelling are common in the foot and ankle region; most of them are non-neoplastic. Some of the tumors, such as plantar fibromatosis, tenosynovial giant cell tumor, synovial chondromatosis, or schwannoma, have a very typical appearance on magnetic resonance imaging. Sarcomas are rare among true soft tissue tumors; however, they can be small and well demarcated, may grow slowly, and are often misinterpreted as benign. This is especially true for synovial sarcoma, one of the most common sarcomas in this region. Densely packed tissues in the foot and ankle may hamper determining the tissue of origin. Adherence to diagnostic guidelines and cooperation with tumor centers is crucial including for posttherapeutic surveillance. We also describe typical posttherapeutic changes and complications after surgery, radiation therapy, and chemotherapy, as well as parameters for the detection and exclusion of recurrence of soft tissue tumors of the ankle and foot.

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Section: General Presurgical Considerationsmentioning

confidence: 99%

Section: Clinical Situation and Algorithms For Imagingmentioning

confidence: 99%

“…1 Keep in mind that malignant lesions are often small and sharply demarcated (►Fig. 1). An initial misdiagnosis in nonspecialized institutions often results in inappropriate procedures.…”

Section: Clinical Situation and Algorithms For Imagingmentioning

confidence: 99%

Section: Soft Tissue Tumor Entities In the Foot And Ankle Regionmentioning

confidence: 99%

See 2 more Smart Citations

Presurgical Perspective and Posttreatment Evaluation of Soft Tissue Tumors of the Ankle and Foot in Adults

Noebauer-Huhmann

Grieser

Panotopoulos

et al. 2022

Semin Musculoskelet Radiol

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show abstract

“…Bone tumors tend to occur predominantly in young males, while soft-tissue tumors are observed more commonly in females. Regarding the site of origin of the primary tumor around the foot and ankle, all four anatomic compartments, namely forefoot, midfoot, hindfoot, and ankle, are equally affected [9][10][11]. The foot and ankle complex has an intricate structure comprising four independent bony compartments and multiple critical functional units, including nerves, blood vessels, tendons, and ligaments, linked closely without fascial barriers.…”

Section: Introductionmentioning

confidence: 99%

Postoperative clinical and functional outcomes in patients with tumor and tumor‐like lesion of foot and ankle

Kokubu

Fujiwara

Nakagawa

et al. 2022

Journal of Foot and Ankle Research

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Background Tumors and tumor-like lesions of the foot and ankle are relatively rare and their postoperative clinical outcome has not been well reported. Methods This study retrospectively reviewed medical records of all patients who underwent excision of tumors and tumor-like lesions of the foot and ankle from 2008 to 2020. Preoperative and postoperative clinical outcomes were evaluated by the Japanese Society for Surgery of the Foot (JSSF) scales (pain, function, and alignment). Results A total of 117 consecutive patients were analyzed in this study. Bone lesions accounted for 51 patients (benign: 45, intermediate malignancy: 1, malignant: 5), and soft tissue lesions accounted for 66 patients (benign: 57, intermediate malignancy: 2, malignant: 7). Four patients (8%) presenting with bone tumor and six (9%) soft tissue tumors resulted in recurrence. Eight (67%) patients with malignant lesions were alive continuously disease free and followed for a median of 50.5 (range: 18 to 82) months. Amputation at the first operation was done for five cases (33%) of malignant or intermediate malignancy (below-knee amputation: 1, Chopart disarticulation: 1, forefoot amputation: 3). Postoperative JSSF scores resulted in a significant 'positive' increase (bone lesion, 75.9 ± 13.7 to 91.4 ± 14.9, p < 0.001; soft tissue lesion, 84.7 ± 14.8 to 91.9 ± 12.5, p < 0.001). The score improvement in bone lesions was significantly higher than in soft tissue lesions (p = 0.003). Conclusion The surgical management of tumors and tumor-like lesions of the foot and ankle showed good post-operative functional outcomes with bone lesions exhibiting better results when compared to soft-tissue lesions.

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Tumors and Tumorlike Lesions

Fitzpatrick

Azzopardi

Ritchie

et al. 2023

Imaging of the Foot and Ankle

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An epidemiological review of 623 foot and ankle soft tissue tumours and pseudo-tumours

Cited by 7 publications

References 13 publications

Presurgical Perspective and Posttreatment Evaluation of Soft Tissue Tumors of the Ankle and Foot in Adults

Presurgical Perspective and Posttreatment Evaluation of Soft Tissue Tumors of the Ankle and Foot in Adults

Postoperative clinical and functional outcomes in patients with tumor and tumor‐like lesion of foot and ankle

Tumors and Tumorlike Lesions

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