Welcome to the Podiatry Arena forums

You are currently viewing our podiatry forum as a guest which gives you limited access to view all podiatry discussions and access our other features. By joining our free global community of Podiatrists and other interested foot health care professionals you will have access to post podiatry topics (answer and ask questions), communicate privately with other members, upload content, view attachments, receive a weekly email update of new discussions, access other special features. Registered users do not get displayed the advertisements in posted messages. Registration is fast, simple and absolutely free so please, join our global Podiatry community today!

  1. Everything that you are ever going to want to know about running shoes: Running Shoes Boot Camp Online, for taking it to the next level? See here for more.
    Dismiss Notice
  2. Have you considered the Critical Thinking and Skeptical Boot Camp, for taking it to the next level? See here for more.
    Dismiss Notice
  3. Have you considered the Clinical Biomechanics Boot Camp Online, for taking it to the next level? See here for more.
    Dismiss Notice
Dismiss Notice
Have you considered the Clinical Biomechanics Boot Camp Online, for taking it to the next level? See here for more.
Dismiss Notice
Have you liked us on Facebook to get our updates? Please do. Click here for our Facebook page.
Dismiss Notice
Do you get the weekly newsletter that Podiatry Arena sends out to update everybody? If not, click here to organise this.

Granuloma like mass

Discussion in 'General Issues and Discussion Forum' started by davsur08, Sep 2, 2010.

  1. davsur08

    davsur08 Active Member


    Members do not see these Ads. Sign Up.
    Dear Colleagues,

    68 yr old female presnted with a hypergranulation like mass on the apex of her third toe. assuming it as a pressure ulcer i managed to offload it but the hypergranulation like tissue reoccurs. i suspect the hypergranulation like tissue could be instigated within.
    ive attached the foot X-rays. radiologist reckons it is normal. My concern is the Sclerotic rim at the distal end of the 3rd toe. it appears as a reactive periosteal lesion on one view and as an exostosis on the other.

    Any suggestions would be helpful?

    Many thanks

    Dave
     

    Attached Files:

    • Xray.doc
      File size:
      490.5 KB
      Views:
      74
  2. mburton

    mburton Active Member

    Hi there Dave

    If you are getting no improvement at all, it may be worth getting a biopsy done - could be an amelanotic melanoma. I inherited an elderly female patient recently with a hypergranulation mass post nail surgery which was unfortunately revealed as a malignant primary.

    Hope not though
    all the best
    Mo
     
  3. Graham

    Graham RIP

    pyogenic granuloma
     
  4. Christie

    Christie Member

    Had pyogenic granuloma confirmed by pathology lab recently. Plantar base of 2nd toe near web - initial presentation similar to 2mm small red naevus, few weeks later minor callus over area (unusual) and then became 10mm by 8mm by 4mm lesion projecting and bleeding. Flush cut the lesion and sent to lab. Diagnosis safe but the elderly lady still has the problem.
     
    Last edited: Sep 2, 2010
  5. davsur08

    davsur08 Active Member

    Thanks everyone for your input.
    pyogenic granuloma: Ive offloaded the lesion and started pt on antibiotic therapy. (trauma and /or infection is thought to cause this lesion). Would using silver nitrate help? its another way of treating P.Granuloma. i will try this next week and update on the progress.

    So, the sclerotic rim with lucent centre on the X-ray is normal?

    Dave
     
  6. Graham

    Graham RIP

    Hyfrecation or lazer works well
     
  7. Christie

    Christie Member

    Longer term follow up on pyogenic granuloma plantar aspect 2nd toe base - the lesion was excised under local and cauterised with surgical diathermy unit and now 3 months later there is no sign of the problem ie no scar either. (diathermy ovbiously wasn't aggressive)
     
Loading...

Share This Page