Soft tissue tumors of the foot and ankle. Foot Ankle 1988 Aug;9(1):19-27
Date
08/01/1988Pubmed ID
2851508DOI
10.1177/107110078800900105Scopus ID
2-s2.0-0023688496 (requires institutional sign-in at Scopus site) 25 CitationsAbstract
Seven patients with malignant soft tissue tumors of the foot and ankle were retrospectively reviewed. Emphasis was placed on the value of various diagnostic modalities used preoperatively for staging and the adequacy of treatment rendered using current tumor surgery principles. The malignant tumors included synovial cell sarcoma (four), clear cell sarcoma (one), fibrosarcoma (one), and melanoma (one). Surgical management of the malignant lesions included intracapsular excision, marginal excision, wide excision, and radical amputation. Preoperative diagnostic and staging studies that were found to be helpful include ultrasonography, xeroradiography, triple-phase bone scan, and CT and magnetic resonance imaging (MRI) scans. Surgical guidelines include the use of longitudinal skin incisions to obtain excisional biopsies of smaller lesions, keeping the tourniquet inflated until either a benign diagnosis is made or until the definitive procedure is performed. Wide excision or partial foot versus radical amputation may be required depending on the size, location, and extent of malignant soft tissue sarcomas.
Author List
Seale KS, Lange TA, Monson D, Hackbarth DAAuthor
Donald A. Hackbarth Jr MD Professor in the Orthopaedic Surgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdolescentAdult
Ankle
Female
Foot Diseases
Humans
Male
Middle Aged
Sarcoma, Synovial
Soft Tissue Neoplasms
