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. 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.

Intriguing case need help please

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

  1. anDRe

    anDRe Active Member


    Members do not see these Ads. Sign Up.
    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
     
Loading...

Share This Page