Primary Tumors of the Foot and Ankle

Kennedy, John G.; Ross, Keir A.; Smyth, Niall A.; Hogan, MaCalus V.

doi:10.1177/1938640015620634

Cited by 16 publications

(21 citation statements)

References 104 publications

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“…Additionally, the malignant potential of a tumor on the foot is often underestimated [ 3 , 5 ]. Despite the rarity of presentation, it is important for any specialist involved to be familiar with the diagnostic criteria and therapeutic options for these patients, as each tumor varies in its presentation, level of aggressiveness, and natural history [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

“…Profound knowledge of the most common entities of foot and ankle tumors and their benign and malignant differential diagnoses is mandatory for a successful treatment. With appropriate diagnostic tests and treatment strategies, patients can anticipate a reasonable chance of survival and preservation of function [ 6 ]. The purpose of this study is to report the results of a retrospective, epidemiologic study of bone and soft tissue tumors of the foot and ankle in patients treated at a musculoskeletal tumor centre.…”

Section: Introductionmentioning

confidence: 99%

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Distribution patterns of foot and ankle tumors: a university tumor institute experience

et al. 2018

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BackgroundBone and soft tissue masses of the foot and ankle are not particularly rare but true neoplasia has to be strictly differentiated from pseudotumorous lesions. Diagnosis is often delayed as diagnostic errors are more common than in other regions. Awareness for this localization of musculoskeletal tumors is not very high and neoplasia is often not considered. The purpose of this study is to provide detailed information on the incidence and distribution patterns of foot and ankle tumors of a university tumor institute and propose a simple definition to facilitate comparison of future investigations.MethodsAs part of a retrospective, single-centre study, the data of patients that were treated for foot and ankle tumors between June 1997 and December 2015 in a musculoskeletal tumor centre were analyzed regarding epidemiologic information, entity and localization. Included were all cases with a true tumor of the foot and ankle. Exclusion criteria were incomplete information on the patient or entity (e.g. histopathological diagnosis) and all pseudotumoral lesions.ResultsOut of 7487 musculoskeletal tumors, 413 cases (5,52%) of tumors of the foot and ankle in 409 patients were included (215 male and 198 female patients). The average age of the affected patients was 36 ± 18y (min.3y, max.92y). Two hundred sixty-six tumors involved the bone (64%), among them 231 (87%) benign and 35 (13%) malignant. There were 147 soft tissue tumors (36%), 104 (71%) were benign, 43 (29%) malignant. The most common benign osseous tumor lesions included simple bone cysts, enchondroma and osteochondroma. By far the most common malignant bone tumor was chondrosarcoma. Common benign soft tissue tumors included pigmented villo-nodular synovitis, superifcial fibromatosis and schwannoma whereas the most common malignant members were synovial sarcoma and myxofibrosarcoma. Regarding anatomical localization, the hindfoot was affected most often.ConclusionsKnowledge of incidence and distribution patterns of foot and ankle tumors will help to correctly assess unclear masses and initiate the right steps in further diagnostics and treatment. Unawareness can lead to delayed diagnosis and inadequate treatment with serious consequences for the affected patient.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Distribution patterns of foot and ankle tumors: a university tumor institute experience

et al. 2018

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“…The foot and ankle are the third most common locations for PVNS, after the knee and hip. It is estimated that up to 20% of PVNS cases occur in the foot and ankle region . Diffuse‐type PVNS is mainly a synovial soft tissue disease; however, it is discussed in this paper because in about 56% of the cases, it is associated with bony erosions and subchondral cysts, and it is usually the first radiographic finding to be seen when assessing patients with PVNS prior to ordering an MRI .…”

Section: Benign Lesionsmentioning

confidence: 99%

“…Bone tumors are relatively rare in the foot and ankle region, and it is estimated that only 3% of osseous tumors occur in this region . Bone tumors in the foot and ankle region commonly present as cystic lesions on plain radiography.…”

Section: Introductionmentioning

confidence: 99%

Cystic bone tumors of the foot and ankle

Reda

2018

Journal of Surgical Oncology

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Bone tumors are relatively rare in the foot and ankle region. Many of them present as cystic lesions on plain films. Due to the relative rarity of these lesions and the complex anatomy of the foot and ankle region, identification of such lesions is often delayed or they get misdiagnosed and mismanaged. This review discusses the most common cystic tumors of the foot and ankle including their radiographic features and principles of management.

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“…Costs related to diabetic foot ulcer care are greater than $1 billion annually and rising, with neuropathy and infection accounting for 90% of related admissions 2 . While only 3% of osseous neoplasms are found in the foot and ankle, 8% of benign soft tissue tumors and 5% of malignant soft tissue tumors are localized to these regions 3 . Similarly, reflected in this issue, the breadth of pathology that affects the foot and ankle is substantial.…”

Section: Introductionmentioning

confidence: 99%

New Techniques in MR Imaging of the Ankle and Foot

Bae

Ruangchaijatuporn

Chung

2017

Magnetic Resonance Imaging Clinics of North America

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Synopsis Foot and ankle disorders are commonplace in everyday clinical practice. Magnetic resonance imaging (MRI) is frequently required for accurate diagnosis given the broad spectrum of pathology and complexity of foot and ankle anatomy. While conventional MRI plays a significant role for diagnosis, contemporary management increasingly relies upon advanced imaging for monitoring therapeutic response. Subsequently, there is an expanding need for identification of biomarkers for musculoskeletal tissues such as cartilage, tendon, bone and nerves. Advanced imaging techniques capable of imaging these tissue substrates will be increasingly utilized in routine clinical practice. Radiologists should therefore become familiar with these innovative MR techniques. Many such techniques are already widely used in other organ systems, such as isotropic 3D imaging acquisitions, diffusion weighted imaging, and kinematic imaging. Other techniques have until recently been limited to the research realm, and include MR neurography, ultrashort TE MRI and quantitative MRI.

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Primary Tumors of the Foot and Ankle

Abstract: Level IV: Literature Review.

Cited by 16 publications

References 104 publications

Distribution patterns of foot and ankle tumors: a university tumor institute experience

Distribution patterns of foot and ankle tumors: a university tumor institute experience

Cystic bone tumors of the foot and ankle

New Techniques in MR Imaging of the Ankle and Foot

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