Kanay Enes, Bulut Halil, Tutuncu Mehmed Nuri, Batibay Sefa, Demiröz Serdar, Okay Erhan, Ozkan Korhan
Acıbadem University Ataşehir Hospital, Istanbul, Turkey.
Istanbul University Cerrahpaşa, Istanbul, Turkey.
Eur J Orthop Surg Traumatol. 2025 May 12;35(1):188. doi: 10.1007/s00590-025-04338-w.
Foot and ankle masses, though uncommon, are an important subset of musculoskeletal tumors, encompassing benign and malignant forms. Malignant tumors often necessitate aggressive treatment, including amputation, and unplanned resections can worsen outcomes by increasing recurrence risk. Identifying predictors of malignancy and functional deficits is vital for improving treatment strategies.
A retrospective review of 120 tumors in 112 patients (2017-2024) assessed demographics, tumor characteristics, size, surgical approach, and outcomes. Interventions included excision, curettage, and amputation, with reconstruction when needed. Predictors of malignancy and functional outcomes were statistically analyzed.
Malignancy was observed in 9.8% of cases, with tumor size > 45 mm and age > 45 years identified as significant predictors. The majority of surgeries were excisions (83.9%), followed by curettage in 13.3% and amputation in 2.8%. Complete resection (R0) was achieved in 94.5% of cases. Early-term (0-180 days) wound complications occurred in 5.4%, while late-term recurrence (median 22 months) was observed in 4.5% CONCLUSION: Tumor size and patient age are key malignancy predictors. Complete resection improves outcomes, highlighting the importance of tailored surgical planning.
足踝部肿块虽不常见，但却是肌肉骨骼肿瘤的一个重要子集，包括良性和恶性类型。恶性肿瘤往往需要积极治疗，包括截肢，而计划外切除会因增加复发风险而使治疗结果恶化。识别恶性肿瘤和功能缺陷的预测因素对于改善治疗策略至关重要。
对112例患者（2017 - 2024年）的120个肿瘤进行回顾性研究，评估人口统计学特征、肿瘤特征、大小、手术方式及治疗结果。干预措施包括切除、刮除和截肢，必要时进行重建。对恶性肿瘤和功能结果的预测因素进行统计学分析。
9.8%的病例为恶性肿瘤，肿瘤大小>45 mm和年龄>45岁被确定为显著预测因素。大多数手术为切除术（83.9%），其次是刮除术（13.3%）和截肢术（2.8%）。94.5%的病例实现了完整切除（R0）。早期（0 - 180天）伤口并发症发生率为5.4%，晚期复发（中位时间22个月）发生率为4.5%。结论：肿瘤大小和患者年龄是恶性肿瘤的关键预测因素。完整切除可改善治疗结果，凸显了制定个性化手术计划的重要性。
