Tumours of the foot: A 10 years retrospective analysis

Singh, Vivek Ajit and Sandhu, Vinesh and Yong, Choo Tze and Yasin, Nor Faissal (2024) Tumours of the foot: A 10 years retrospective analysis. Journal of Orthopaedic Surgery, 32 (1). p. 10225536241248706. ISSN 1022-5536, DOI https://doi.org/10.1177/10225536241248706.

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Official URL: https://doi.org/10.1177/10225536241248706

Abstract

IntroductionThe foot is a complex structure composed of several tissues, each of which can be the origin of the proliferation and development of the tumour. Most lesions about the foot are reactive or inflammatory, but some are true neoplasms.MethodThis is a retrospective analysis of 4997 patient records treated in the Orthopaedic Oncology Unit of University Malaya Medical Centre, Malaysia, between 1 January 2010 to 31 December 2020. Demographic data of 195 patients with foot tumours were analysed out of 4997 neoplasm patients.ResultsThere were 195 cases of foot tumours: 148 were benign, and 47 were malignant. 47 were bone tumours, 4 were metastases, and 144 were soft tissue tumours. Six patients succumbed to the disease, two cases of giant cell tumour (GCT) and one patient with synovial sarcoma had a recurrence. Treatment of foot tumours was wide resection in general. However, in metastasis cases, amputation was done. The majority of tumours were in the toes and dorsum of the foot. Soft tissue tumours of the foot occur in the elderly population in contrast to bone tumours, mainly in the second decade of life. The gender distribution was almost equal for foot tumours. Ganglion and Giant Cell Tumour of the bone are the commonest benign soft tissue and bone tumours. The most common malignant soft tissue and bone tumours are malignant melanoma and chondrosarcoma. The amputation rate is 5.64% the recurrence rate is 1.54%. Mortality rate is 3.08%. The MSTS score is 79%, and the TESS score is 76.23%.ConclusionFoot tumours are relatively rare, mostly originating from soft tissue and exhibiting a benign nature. Nonetheless, a noteworthy proportion-approximately a quarter of these tumours-demonstrate malignancy. The surgical interventions undertaken in managing these tumours and associated functional outcomes generally yield acceptable results.

Item Type: Article
Funders: UNSPECIFIED
Uncontrolled Keywords: clinical outcome; foot; functional outcome; tumours
Subjects: R Medicine > R Medicine (General)
Divisions: Faculty of Medicine > Orthopaedic Surgery Department
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 14 Nov 2024 02:58
Last Modified: 14 Nov 2024 02:58
URI: http://eprints.um.edu.my/id/eprint/45894

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