Bos Gary D, Esther Robert J, Woll T Scott
Department of Orthopaedic Surgery, Ohio State University School of Medicine and Public Health, Columbus, OH, USA.
J Am Acad Orthop Surg. 2002 Jul-Aug;10(4):259-70. doi: 10.5435/00124635-200207000-00004.
Several large clinical series have demonstrated that benign and malignant tumors occur in the foot and ankle at a much higher rate than previously thought. Vigilance is warranted in investigating any foot mass, including those with an apparently indolent course. Although tumors in the foot tend to produce symptoms relatively early because of the foot's compact structure, many tumors are initially misdiagnosed. Given the comparatively small size of the anatomic compartments in the foot, tumors often present outside the original compartment, making timely diagnosis essential. Major treatment errors can be avoided if physicians consider the potential for malignancy when evaluating all foot masses. A high index of suspicion, an organized approach to diagnosis, and evaluation of and adherence to the basic principles of treatment of musculoskeletal neoplasms increase the likelihood of acceptable results.
几个大型临床系列研究表明，足踝部良性和恶性肿瘤的发生率比之前认为的要高得多。对于任何足部肿物，包括那些病程看似进展缓慢的肿物，都需要保持警惕并进行检查。尽管由于足部结构紧凑，足部肿瘤往往相对较早出现症状，但许多肿瘤最初仍会被误诊。鉴于足部解剖间隙相对较小，肿瘤常常在原发间隙之外出现，因此及时诊断至关重要。如果医生在评估所有足部肿物时考虑到恶性肿瘤的可能性，就可以避免重大的治疗失误。高度的怀疑指数、有条理的诊断方法以及对肌肉骨骼肿瘤治疗基本原则的评估和遵循，会增加获得可接受结果的可能性。
