Abstract
Primary bone tumors of the foot are rare lesions. The purpose of the present study
was to evaluate the clinical manifestations, treatment modalities, and recurrences
of various primary bone tumors of the foot from a specialized center for orthopedic
oncology. Among 3681 musculoskeletal tumor cases, which were diagnosed and surgically
treated in our hospital from 1983 to 2013, 166 primary tumor and tumor-like bone lesions
of the foot (4.5%) were retrospectively reviewed regarding age, gender, localization,
biopsy-revealed diagnosis, applied treatment modalities, follow-up period, and recurrence,
if any. Of the 166 primary bone tumors of the foot, 155 (93.4%) were benign and 11
(6.6%) were malignant. The most common primary benign bone tumor was a unicameral
bone cyst (57 of 155; 36.8%), and the most common malignant tumor was chondrosarcoma
(7 of 11; 63.6%). The hindfoot was the most common location for both primary benign
(104 of 155; 67.1%) and malignant (6 of 11; 54.5%) bone tumors of the foot. The results
of our study have confirmed that the radiologic findings can be confusing owing to
the structural and histopathologic features of the bones of the foot; thus, histopathologic
diagnosis should be considered for foot involvement. Because the characteristics of
the compartments in the foot allow for the rapid spread of malignant lesions, aggressive
surgical management and wider resection are recommended to prevent recurrence and
further spread.
Level of Clinical Evidence
Keywords
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Article info
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Financial Disclosure: None reported.
Conflict of Interest: None reported.
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