Shader A F, Schwartzenfeld S A
Department of Podiatric Surgery, Southeastern Medical Center, North Miami Beach, Florida.
J Foot Surg. 1989 Sep-Oct;28(5):438-41.
An osteoid osteoma on the foot diagnosed by clinical, pathologic, and radiographic evaluation was described. The lesion is found predominantly in the long bones of the foot. A differential diagnosis of osteoma, osteoblastoma, and osteogenic sarcoma must be ruled out in order for proper management of the patient. The case of a solitary, bony lesion located at the base of the proximal phalanx of the fifth toe in a 38-year-old, white female was presented. No evidence of malignancy was found. The lesion was a hard, painful, palpable mass, located in the fourth left web space, and was excised completely. The skin defect was closed in order for proper syndactilization of the adjoining fourth and fifth digits. Two years post-operatively, the patient was asymptomatic with no evidence of reoccurrence.
描述了一例经临床、病理和影像学评估诊断为足部骨样骨瘤的病例。该病变主要见于足部的长骨。为了对患者进行恰当治疗，必须排除骨瘤、骨母细胞瘤和成骨肉瘤的鉴别诊断。本文介绍了一名38岁白人女性，其第五趾近节趾骨基部有一个孤立性骨病变的病例。未发现恶性证据。该病变是一个位于左第四趾蹼间隙的坚硬、疼痛且可触及的肿块，已被完全切除。为了使相邻的第四和第五趾正确并指，封闭了皮肤缺损。术后两年，患者无症状，无复发迹象。
