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足部滑膜肉瘤作为持续性跖痛的不典型病因:3 例报告。

Synovial Sarcoma of the Foot as an Atypical Cause of Persistent Metatarsalgia: A Report of 3 Cases.

机构信息

Department of Traumatology and Orthopaedic Surgery, Hospital Clínico San Carlos, Madrid, Spain.

Surgery Department, Complutense University, Madrid, Spain.

出版信息

JBJS Case Connect. 2022 Aug 17;12(3). doi: e22.00282. eCollection 2022 Jul 1.

Abstract

CASE

Three cases of atypical metatarsalgia are presented, all diagnosed with foot synovial sarcomas (SSs) at different stages of evolution, after a year of medical consultations. One case was treated with marginal excision without requiring bone excision; the second patient required amputation of the first ray; and the third patient, with advanced disease, required amputation through Chopart's joint.

CONCLUSION

Metatarsalgia is a recurrent reason for consultation in orthopaedics. Even so, patients with persistent symptoms should be studied further in depth. Computed tomography or magnetic resonance imaging can detect tumor pathology, such as SS, of insidious development.

摘要

病例

报告三例非典型跖痛症病例,均在一年的医学咨询后,被诊断为处于不同演进阶段的足部滑膜肉瘤(SS)。其中 1 例采用边缘切除术治疗,无需骨切除;第二例患者需要切除第一跖骨;第三例患者,病情较严重,需要通过 Chopart 关节截肢。

结论

跖痛症是矫形外科经常会诊的原因。即便如此,对于持续存在症状的患者,仍应进一步深入研究。计算机断层扫描或磁共振成像可以检测到诸如 SS 等隐匿性发展的肿瘤病理学。

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