Malignant Tumors of Foot and Our Experience: A Case Series

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Author(s): Zain ul Abidin,1 Ata ul Haq,2 Kamal ud Din Khan,3 Asma Ilyas,4 Muhammad Ahsan Riaz,5 Moazzam Nazeer Tarar6

Published: 02/08/2021 | Pages: 33-37 |

Tumors involving foot are rare to encounter, challenging to manage, and not adequately addressed in the literature. Many institutes are lacking behind in handling such cases. Our study highlighted the issues faced and elaborated on the steps involved in the management of foot tumors. Objective: To share our experience regarding presentation, management, and functional outcome of foot tumors. Methodology: This was a retrospective case series done at Jinnah Burn and Reconstructive Surgery Centre, Lahore, from January 2017 to April 2020.Eleven patients with foot tumors were retrospectively identified. We reviewed the following details from each patient’s record: Duration of presentation, prior treatments, histological type, grade/stage of the tumor, surgical management, oncological and functional outcome using MSTS (Musculoskeletal tumor society 1987 ). Results: Out of eleven patients, five (45.4% ) were males and six (54.5%) were females, with a mean age of 48 + 11.8 years. The mean duration of postoperative follow-up was 24.3 +7.8 months. Histological diagnosis was Squamous Cell Carcinoma (SCC) (n=4), SCC (Marjolin) (n=2), Melanoma (n=3) and Sarcoma (n=2). All tumors were treated with excision under frozen section control and immediately reconstructed with Split thickness skin graft ( STSG ) in 5 (45.4% ) patients, pedicled medial planter in 2 (18.1%), and free Anterolateral thigh flaps (ALTF) in 2 (18.1%). Limb salvaged in all patients except 2(18.1 %) who need a trans-metatarsal amputation. The MSTS 1987 scores averaged 24.5 +8.6. out of a possible 35 points. Conclusion: Tumors of the foot are rare to encounter but timely referral to specialized center for appropriate treatment results in good functional outcomes.