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Chondrosarcoma of the proximal phalanx
B G Ralph1, J Barrett, C Kenyhercz
1Youngstown Osteopathic Hospital, OH, USA.
Summary
A rare grade 1 chondrosarcoma, a slow-growing bone cancer, was surgically removed from an elderly patient's foot. This case highlights the uncommon occurrence of this tumor in the foot, specifically the proximal phalanx of the second digit.
Area of Science:
- Orthopedic Surgery
- Skeletal Oncology
- Podiatric Medicine
Background:
- Chondrosarcoma is a malignant tumor arising from cartilage cells.
- While common in long bones, chondrosarcoma of the foot is exceptionally rare.
- This case report focuses on a specific, unusual location within the foot.
Observation:
- An 87-year-old male presented with a large, painless mass on the dorsum of his left foot, present for 10 years.
- The mass originated from the proximal second digit, involving the second web space and distal metatarsals.
- The tumor's size significantly impacted the patient's daily activities.
Findings:
- Surgical excision of the mass was successfully performed.
- Pathologic diagnosis confirmed a grade 1 chondrosarcoma.
- The patient showed no signs of metastasis and achieved a full recovery, consistent with low-grade tumors.
Implications:
- This case contributes to the limited literature on foot chondrosarcomas, particularly in the proximal phalanx of the second digit.
- It underscores the importance of considering rare diagnoses in persistent foot masses.
- Successful surgical management of low-grade chondrosarcoma in this location offers a positive prognosis.