Abstract | 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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Authors | Yasuhiko Kokubu, Toshifumi Fujiwara, Koh Nakagawa, Nokitaka Setsu, Makoto Endo, Jun-Ichi Fukushi, Yoshihiro Matsumoto, Yasuharu Nakashima |
Journal | Journal of foot and ankle research
(J Foot Ankle Res)
Vol. 15
Issue 1
Pg. 75
(Oct 14 2022)
ISSN: 1757-1146 [Electronic] England |
PMID | 36229823
(Publication Type: Journal Article)
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Copyright | © 2022. The Author(s). |
Topics |
- Ankle
(pathology, surgery)
- Ankle Joint
(surgery)
- Bone Neoplasms
(pathology, surgery)
- Humans
- Retrospective Studies
- Soft Tissue Neoplasms
(pathology, surgery)
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