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Intriguing case need help please

Discussion in 'General Issues and Discussion Forum' started by anDRe, Sep 1, 2010.

  1. anDRe

    anDRe Active Member


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    Good evening to all

    Today appeared in my consult a patient with a lesion of hard consistency, Tthe patient is 48 years old, man, he does not take any medications but is is obese. He has no pain at the lesion It came on suddenly. An MRI has not yet been made. But I have already order one. It lies in lateral aspect of the talus. Perhaps the too much pressure in the joint? In my opinion this is some kind of tumor but which one?
    This case has left me completely confused because I never came across anything like it. I'm considering to do a biopsy of the lesion but before I would like to get your opinion on a possible diagnosis!Your help will be deeply appreciated!

    Thanks
    André
     

    Attached Files:

  2. W J Liggins

    W J Liggins Well-Known Member

    Hello Andre

    A little difficult to say. Can you give more history?

    Given the appearance, my initial guess would be a dermoid cyst but a biopsy will be necessary to eliminate other lesions.

    All the best

    Bill
     
  3. Lorna_Loveland

    Lorna_Loveland Welcome New Poster

    Hello Andre,

    I agree with Bill. Given the sudden onset I would be suspicous of a cyst and a biopsy would be the way to go.

    Lorna
     
  4. Elizabeth Humble-Thomas

    Elizabeth Humble-Thomas Active Member

    The location and appearance suggest a simple ganglion to me, try hitting it with the Family Bible?
     
  5. Catfoot

    Catfoot Well-Known Member

    Hola Andre,
    It is difffilcult to see the exact postion of this lesion.
    I wonder, does the lesion move with the tendon, if so could it be a tendon xanthoma?
    Just a suggestion.

    regards

    Catfoot
     
  6. Jeff S

    Jeff S Active Member

    Dermatofibroma vs. ganglion cyst - try transillumination vs aspirating lesion. You said hard consistency - not bone correct?

    Jeffrey Siegel, DPM, FACFAS
     
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