Kelly P C, Shramowiat M
J Foot Surg. 1978 Spring;17(1):27-31.
A 56-year-old black, apparently healthy female presented with a rapidly growing mass on the medial aspect of her left hallux. The mass was seen on x-ray examination, and did not appear locally invasive. Excision revealed the mass to be a well differentiated liposarcoma, and after further consultation, the left hallux was amputated. Although the incidence of differentiated liposarcoma in the foot is rare, the preceding case should reiterate to all the need for closer investigation of soft tissue masses which may appear in the foot. Prompt excision of malignant tumors results in a good prognosis for the patients, whereas misdiagnosis based on the apparently benign appearance may lead to unnecessary delay and a less fortuitous prognosis for the patient.
一名56岁的黑人女性,表面上看起来健康,其左拇趾内侧出现一个迅速生长的肿块。X线检查发现了这个肿块,且未显示出局部浸润性。切除后发现该肿块是一个高分化脂肪肉瘤,进一步会诊后,对左拇趾进行了截肢。尽管足部高分化脂肪肉瘤的发病率很低,但上述病例应再次提醒所有人,对于足部可能出现的软组织肿块需要进行更仔细的检查。及时切除恶性肿瘤会使患者预后良好,而基于表面良性外观的误诊可能会导致不必要的延误,给患者带来较差的预后。