Pseudotumoural soft tissue lesions of the foot and ankle: a pictorial review

Hul, Erik Van; Vanhoenacker, Filip; Dyck, Pieter Van; Schepper, A. De; Parizel, Paul M.

doi:10.1007/s13244-011-0087-2

Cited by 44 publications

(27 citation statements)

References 58 publications

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“…By contrast, bursal tissue appears hypo- or isointense on T1WI and hyperintense on T2WI, allowing for differentiation between bursal and neural tissues. There is no typical enhancement pattern of MN after intravenous administration of gadolinium contrast medium, with varying degrees of enhancement reported in the literature[ 19 ]; in our experience, however, the enhancement of most MN is low to zero. When present, this is usually due to the enhancement of the bursal tissue surrounding the neuroma.…”

Section: Imaging Of Mncontrasting

confidence: 58%

Role of imaging methods in diagnosis and treatment of Morton’s neuroma

Santiago¹,

Muñóz²,

Pryest³

et al. 2018

WJR

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Among the many causes of forefoot pain, Morton’s neuroma (MN) is often suspected, particularly in women, due to its high incidence. However, there remain controversies about its relationship with symptomatology and which diagnostic and treatment choices to choose. This article mainly focuses on the role of the various imaging methods and their abilities to support an accurate diagnosis of MN, ruling out other causes of forefoot pain, and as a way of providing targeted imaging-guided therapy for patients with MN.

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Section: Imaging Of Mncontrasting

confidence: 58%

Role of imaging methods in diagnosis and treatment of Morton’s neuroma

Santiago¹,

Muñóz²,

Pryest³

et al. 2018

WJR

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“…The most common locations are close to the knee and in extra-articular positions, but rarely in an intra-articular position (<10%) ( 9 ). Certain studies have demonstrated that these lesions are associated with a trauma that led to injury of the soft tissue around the joint ( 10 ). Lesions are rarely observed in the head, neck, mediastinum or peritoneum.…”

Section: Discussionmentioning

confidence: 99%

Synovial sarcoma: Magnetic resonance and computed tomography imaging features and differential diagnostic considerations

et al. 2014

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The present study retrospectively examined 24 cases of pathologically confirmed synovial sarcoma and analyzed the clinical presentation and imaging findings in order to explore the imaging features of synovial sarcoma. The majority of the lesions were large (>5 cm; 88%), rounded or lobulated, relatively well-defined tumor masses in the extremities near the joints or deeply located. On computed tomography (CT) scans, the lesions demonstrated intensity signals similar to those of muscle. Six cases exhibited punctate calcification in the periphery of the tumor. On T1-weighted images, the largest lesions of >5 cm, were usually heterogeneous, with a signal intensity similar to or slightly higher than that of muscle. On T2-weighted images, heterogeneous high-intensity or slightly high-intensity signals were observed, with 12 cases exhibiting a high signal consistent with hemorrhage and 12 presenting signals that indicated internal septations. Contrast-enhanced scanning revealed heterogeneous enhancement in the majority of the lesions and no enhancement in areas of cystic necrosis or internal septations. Synovial sarcoma has specific imaging features, and comprehensive analysis of CT and magnetic resonance imaging can improve the accuracy of the pre-operative diagnosis.

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“…Ganglion cysts usually present as visible painless lumps in relation to joints or uncommonly within soft tissues. [2,3] Most ganglion cysts have a typical location around the hands. Other notable sites being knee, spinoglenoid notch and ankle.…”

Section: Differential Diagnosismentioning

confidence: 99%

Xanthomatosis Involving Tendons and Sacral Region- A Rare Combination

Sil¹,

Debroy²,

Goel³

2017

jemds

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A 33-year-old male patient presented with multiple lobulated, nodular, firm swellings over both Achilles tendons, patellar tendons and sacral region. The lesions started developing around 25 years ago and have gradually progressed to their present size. The patellar and tendoachilles swellings were excised and histopathology proved the swellings to be xanthomas. This 33 years old nondiabetic, non-hypertensive male patient presented with gradually progressive multiple lobulated, nodular, firm swellings over both Achilles tendons, patellar tendons ( Figure 1, 2) and sacral region for last 25 years (Figure 3), few of which demonstrated surface scarring due to friction. The patient had social problems with regards to the cosmetic deformity the lesions caused and hence attended our outpatient department. On clinical examination, the swellings were free from the underlying bone at all places. They were not associated with pain, fever, weight loss or any other conditions. The patient also provided with history of similar swellings over both triceps tendons, which were operated two years back outside our hospital. The patient has denied any recurrence of the operated lesions. The patient did not have past history of any other illness. He was non-smoker, non-alcoholic and bowel-bladder habit was regular. General and systemic examinations were within normal limit. There were no other swellings or lesions present in any other part of his body other than those already described.

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Pseudotumoural soft tissue lesions of the foot and ankle: a pictorial review

Cited by 44 publications

References 58 publications

Role of imaging methods in diagnosis and treatment of Morton’s neuroma

Role of imaging methods in diagnosis and treatment of Morton’s neuroma

Synovial sarcoma: Magnetic resonance and computed tomography imaging features and differential diagnostic considerations

Xanthomatosis Involving Tendons and Sacral Region- A Rare Combination

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