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足踝部原发性肿瘤

Primary Tumors of the Foot and Ankle.

作者信息

Kennedy John G, Ross Keir A, Smyth Niall A, Hogan MaCalus V, Murawski Christopher D

机构信息

Division of Foot and Ankle Surgery, Hospital for Special Surgery, New York, New York (JGK, KAR, NAS)University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania (MVH, CDM)

Division of Foot and Ankle Surgery, Hospital for Special Surgery, New York, New York (JGK, KAR, NAS)University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania (MVH, CDM).

出版信息

Foot Ankle Spec. 2016 Feb;9(1):58-68. doi: 10.1177/1938640015620634. Epub 2015 Dec 7.

Abstract

UNLABELLED

Tumors of the foot and ankle are rarely encountered in the general patient population. Even among studies of tumor patients, foot and ankle neoplasms are uncommon. Given the weight-bearing demands of the foot and its relatively small area, even small masses are likely to be symptomatic and/or palpable to both patient and physician. Only 3% of osseous neoplasms are found in this region, while 8% of benign soft tissue tumors and 5% of malignant soft tissue tumors are localized to the foot and ankle. Despite the rarity of presentation, it is important for orthopaedic surgeons to be familiar with the diagnostic criteria and therapeutic options for these patients, as each tumor varies in its presentation, level of aggressiveness, and natural history of the disease. With appropriate diagnostic tests and treatment, patients can anticipate a reasonable chance of survival and preservation of function. In this review article, the authors survey the current literature regarding the presentation, diagnostic workup, and treatment for the most common benign and malignant tumors of the foot and ankle.

LEVELS OF EVIDENCE

Level IV: Literature Review.

摘要

未标注

足部和踝关节肿瘤在普通患者群体中很少见。即使在肿瘤患者的研究中,足部和踝关节肿瘤也不常见。鉴于足部的负重需求及其相对较小的面积,即使是小肿块也可能对患者和医生来说有症状和/或可触及。该区域仅发现3%的骨肿瘤,而8%的良性软组织肿瘤和5%的恶性软组织肿瘤局限于足部和踝关节。尽管发病率很低,但骨科医生熟悉这些患者的诊断标准和治疗选择很重要,因为每种肿瘤在表现、侵袭程度和疾病自然史方面都有所不同。通过适当的诊断测试和治疗,患者有望获得合理的生存机会和功能保留。在这篇综述文章中,作者调查了有关足部和踝关节最常见良性和恶性肿瘤的表现、诊断检查和治疗的当前文献。

证据级别

四级:文献综述。

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