ABSTRACT
OCDs of the ankle are the third most common lesion in the body and a physician should include this in the differential while evaluating the pediatric population with the history of injury and/or pain in the ankle. Pain, stiffness, and swelling are the most common presenting complaints about the pediatric and adolescent patients with an OCD. Conservative treatment options should be attempted before attempting surgical intervention. Multiple surgical procedures exist to manage the lesion based on location, size, and other factors.
Subject(s)
Osteochondritis Dissecans , Osteochondritis , Talus , Adolescent , Ankle Joint/diagnostic imaging , Ankle Joint/surgery , Child , Humans , Osteochondritis Dissecans/diagnostic imaging , Osteochondritis Dissecans/surgery , Talus/diagnostic imaging , Talus/surgeryABSTRACT
Sarcoma is a rare cancer that can be found anywhere in the body. Approximately 1% of all adult cancers are sarcoma, and angiosarcomas account for approximately 1% to 2% of all sarcomas. Although rare, when clinical and radiographic changes suggestive of neoplasm are seen in the lower extremities, and if metastasis is suspected, angiosarcoma should be among the differential diagnosis. In this report, we describe the case of an elderly woman who presented with epithelioid angiosarcoma of the talus. Although the patient became aware of the sarcoma only after pain developed after minor trauma to her foot, evaluation of the injury revealed the presence of metastatic disease, and the patient succumbed to the cancer shortly after the diagnosis was made.
Subject(s)
Bone Neoplasms/pathology , Hemangiosarcoma/pathology , Neoplasm Invasiveness/pathology , Talus/pathology , Aged , Biopsy, Needle , Bone Neoplasms/diagnosis , Bone Neoplasms/surgery , Fatal Outcome , Female , Hemangiosarcoma/diagnosis , Hemangiosarcoma/surgery , Humans , Immunohistochemistry , Magnetic Resonance Imaging , Neoplasm Staging , Postoperative Care/methods , Treatment RefusalABSTRACT
The most common type of non-Hodgkin's lymphoma is the B-cell type. We report herein a type of B-cell lymphoma in an adult ankle. A 63-year-old woman presented with a painful growth on the anteromedial aspect of her right ankle that was later diagnosed as a form of non-Hodgkin's lymphoma. Clinically, the single mass appeared bluish in color, painful on palpation, and warm to the touch. The overlying skin was friable, and the lesion did not transilluminate. Histopathologic examination revealed a diffuse large B-cell lymphoma of germinal center origin on surgical excision. This case report focuses on the clinical presentation, surgical intervention, and overall outcome of a rare case of lymphoma of the ankle.