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J Am Acad Orthop Surg, Vol 10, No 4, July/August 2002, 259-270.
© 2002 the American Academy of Orthopaedic Surgeons
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Foot Tumors: Diagnosis and Treatment

Gary D. Bos, MD, Robert J. Esther, MD, MSc and T. Scott Woll, MD

Dr. Bos is Professor and Chair, Department of Orthopaedic Surgery, The Ohio State University School of Medicine and Public Health, Columbus, OH. Dr. Esther is Resident, Department of Orthopaedic Surgery, University of North Carolina at Chapel Hill, Chapel Hill, NC. Dr. Woll is Adjunct Associate Professor, Oregon Health and Sciences University, Portland, OR.

Reprint requests: Dr. Bos, N1037 Doan Hall, 410 W 10th Avenue, Columbus, OH 43210.

Several large clinical series have demonstrated that benign and malignant tumors occur in the foot and ankle at a much higher rate than previously thought. Vigilance is warranted in investigating any foot mass, including those with an apparently indolent course. Although tumors in the foot tend to produce symptoms relatively early because of the foot’s compact structure, many tumors are initially misdiagnosed. Given the comparatively small size of the anatomic compartments in the foot, tumors often present outside the original compartment, making timely diagnosis essential. Major treatment errors can be avoided if physicians consider the potential for malignancy when evaluating all foot masses. A high index of suspicion, an organized approach to diagnosis, and evaluation of and adherence to the basic principles of treatment of musculoskeletal neoplasms increase the likelihood of acceptable results.






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Copyright © 2002 by the American Academy of Orthopaedic Surgeons.