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Osteosarcoma on hallux

Discussion in 'General Issues and Discussion Forum' started by Leah Claydon, May 29, 2009.

  1. Leah Claydon

    Leah Claydon Active Member

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    I'd like to share this case with you.

    55 year old Turkish Cypriot woman in good health presented in clinic complaining of a painful growth on her hallux, duration 1 year. She had previously been treated by two different dermatologists - one treated it as a wart, prescribing Salicylic Acid preparatons, the other treated it as a fungal infection prescribing topical terbinafine.

    The lesion felt firm to the touch and did not look typical of a wart lesion. Plain x-ray revealed an small boney growth inside the lesion that was not connectd to the distal phalanx. The vascularity of the lesion worried me so I referred the patient for biopsy. Histopathology report revealed osteosarcoma. She was referred for sugery whereon her hallux was amputated.

    Does anyone have any experience of osteosarcoma in a digit?

    Etik Hospital, Nicosia
    Turkis Republic of North Cyprus
  2. drsarbes

    drsarbes Well-Known Member

    Hi Leah:
    Thanks for sharing this.
    Do you happen to have the radiograph?

  3. Leah Claydon

    Leah Claydon Active Member

    Sadly, we have a dinosaur of a x-ray machine and it's not possible to transfer the image.

    If it helps, it looked about the size of a Smartie/M&M with a fuzzy halo around it - more of a 'star nebula' than a solid circumscribed mass.

  4. NewsBot

    NewsBot The Admin that posts the news.

    Osteosarcoma of the hands and feet: a distinct clinico-pathological subgroup.
    Anninga JK, Picci P, Fiocco M, Kroon HM, Vanel D, Alberghini M, Gelderblom H, Hogendoorn PC.
    Virchows Arch. 2012 Dec 5.
  5. Admin2

    Admin2 Administrator Staff Member


    An osteosarcoma (OS) or osteogenic sarcoma (OGS) is a cancerous tumor in a bone. Specifically, it is an aggressive malignant neoplasm that arises from primitive transformed cells of mesenchymal origin (and thus a sarcoma) and that exhibits osteoblastic differentiation and produces malignant osteoid.[1]

    Osteosarcoma is the most common histological form of primary bone cancer.[2] It is most prevalent in teenagers and young adults.[3]

    1. ^ Luetke A, Meyers PA, Lewis A, Juergens H (2014). "Osteosarcoma treatment—where do we stand? A state of the art review". Cancer Treat Rev. 40 (4): 523–532. doi:10.1016/j.ctrv.2013.11.006. PMID 24345772. 
    2. ^ Ottaviani G, Jaffe N (2009). The epidemiology of osteosarcoma. In: Jaffe N. et al. "Pediatric and Adolescent Osteosarcoma". New York: Springer. doi:10.1007/978-1-4419-0284-9_1. ISBN 978-1-4419-0283-2. PMID 20213383. 
    3. ^ "Osteosarcoma". US National Library of Medicine. PubMed Health. 2013. 
  6. Paul Bowles

    Paul Bowles Well-Known Member

    Osteochondroma would have been my first thought based on the fact you usually find osteosarcomas in long bones but since it looks terrible your decision was obviously correct and well and truly warranted. Well done!

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