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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

 

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

 

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

 

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

 

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

 

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

Jeffrey Siegel, DPM, FACFAS