Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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Treatment and Prognosis for Tumors of the Foot and Ankle

발과 발목에서 발생한 종양의 치료 및 예후

  • Seung Soo Han (Department of Orthopaedic Surgery, Pusan National University Hospital, Pusan National University School of Medicine) ;
  • Jeung Il Kim (Department of Orthopaedic Surgery, Pusan National University Hospital, Pusan National University School of Medicine) ;
  • Tae Sik Goh (Department of Orthopaedic Surgery, Pusan National University Hospital, Pusan National University School of Medicine) ;
  • Seung Hun Woo (Department of Orthopaedic Surgery, Pusan National University Yangsan Hospital, Pusan National University School of Medicine) ;
  • Ji Youn Kim (Department of Orthopaedic Surgery, Kosin University Gospel Hospital, Kosin University College of Medicine, Busan)
  • 한승수 (부산대학교 의과대학 부산대학교병원 정형외과학교실) ;
  • 김정일 (부산대학교 의과대학 부산대학교병원 정형외과학교실) ;
  • 고태식 (부산대학교 의과대학 부산대학교병원 정형외과학교실) ;
  • 우승훈 (부산대학교 의과대학 양산부산대학교병원 정형외과학교실) ;
  • 김지연 (고신대학교 의과대학 고신대학교복음병원 정형외과학교실)
  • Received : 2023.11.21
  • Accepted : 2024.04.03
  • Published : 2024.06.15
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Abstract

Purpose: Tumors of the foot and ankle account for approximately 3%~5% of all musculoskeletal tumors, and accurate diagnosis is often delayed due to their rare prevalence. Therefore, the authors aimed to analyze the incidence, treatment methods, and prognostic factors of foot and ankle tumors treated at the authors' hospital. Materials and Methods: A retrospective single-center study examined 342 patients treated for foot and ankle tumors at the authors' hospital from January 2011 to February 2022. Data were collected from the electronic medical records (EMR) and picture archiving and communication systems (PACS). The information analyzed included gender, age, follow-up period, diagnosis, tumor occurrence and recurrence, treatment, and clinical outcomes. Results: Most cases (93.3%) were benign, but 6.7% were malignant. The main treatment for malignant tumors was surgical resection (91.3%). Approximately 53.1% of benign tumors and 91.3% of malignant tumors were treated with surgery, and two of the malignant tumors that did not undergo surgery had metastatic cancer. After surgery, 8.2% of benign lesions and 19.0% of malignant lesions recurred, and 9.5% of the patients with malignant tumors died after surgery. Conclusion: Most foot and ankle tumors are benign tumors, and the prognosis is not poor if treated properly, but most malignant tumors often require amputation. In some cases, however, amputation can be avoided with a combination of chemotherapy and radiation therapy.

Keywords

References

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