Synovial sarcoma of the foot and ankle

Sean P. Scully, H. Thomas Temple, John M. Harrelson

Research output: Contribution to journalArticle

64 Citations (Scopus)

Abstract

Synovial sarcoma of the foot and ankle frequently is misdiagnosed, which leads to delays in treatment. The clinical records of 14 patients with synovial sarcoma of the foot and ankle were reviewed. Common findings at presentation were an enlarging mass with a variable incidence of pain, tenderness, and edema. The patients tended to be younger than patients with other soft tissue sarcomas (30 years) and had a median duration of symptoms of 14 months. Of the 14 patients, 12 underwent an attempted curative surgical procedure. Ten patients had partial foot amputations or below knee amputations, whereas two had an attempted limb salvage by wide resection. Of the 14 patients, one experienced regionally recurrent disease and eight had pulmonary metastasis developed. All patients who had metastasis develop died of their disease. Tumor size was not observed to be a prognostic variable in this group of patients. Patients with biphasic histologic features had a better outcome than did those with a monophasic subtype. Patients with a prolonged duration of symptoms before diagnosis had a better outcome, presumably because these tumors biologically were less aggressive. Wide resection can be considered in a select group of patients.

Original languageEnglish
Pages (from-to)220-226
Number of pages7
JournalClinical Orthopaedics and Related Research
Issue number364
StatePublished - Jul 27 1999
Externally publishedYes

Fingerprint

Synovial Sarcoma
Ankle
Foot
Amputation
Neoplasm Metastasis
Limb Salvage
Diagnostic Errors
Sarcoma
Edema
Neoplasms
Knee

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Scully, S. P., Thomas Temple, H., & Harrelson, J. M. (1999). Synovial sarcoma of the foot and ankle. Clinical Orthopaedics and Related Research, (364), 220-226.

Synovial sarcoma of the foot and ankle. / Scully, Sean P.; Thomas Temple, H.; Harrelson, John M.

In: Clinical Orthopaedics and Related Research, No. 364, 27.07.1999, p. 220-226.

Research output: Contribution to journalArticle

Scully, SP, Thomas Temple, H & Harrelson, JM 1999, 'Synovial sarcoma of the foot and ankle', Clinical Orthopaedics and Related Research, no. 364, pp. 220-226.
Scully SP, Thomas Temple H, Harrelson JM. Synovial sarcoma of the foot and ankle. Clinical Orthopaedics and Related Research. 1999 Jul 27;(364):220-226.
Scully, Sean P. ; Thomas Temple, H. ; Harrelson, John M. / Synovial sarcoma of the foot and ankle. In: Clinical Orthopaedics and Related Research. 1999 ; No. 364. pp. 220-226.
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