Tag Archive for: Calcaneum

Resection and Reconstruction of Calcaneal Tumors – A Review

Original Article | Volume 6 | Issue 2 | JBST May-August 2020 | Page 2-4 | Subbiah Shanmugam, Sujay Susikar, Murali Kannan. DOI: 10.13107/jbst.2020.v06i02.22

Author: Subbiah Shanmugam[1], Sujay Susikar[1], Murali Kannan[1]

[1]Department of Surgical Oncology, Associate Professor, Centre for Oncology, Government Royapettah Hospital, Chennai, Tamil Nadu, India.

Address of Correspondence
Dr. Sujay Susikar,
Department of Oncology, Centre for Oncology, Government Royapettah Hospital, Chennai, Tamil Nadu, India.
E-mail: sujaysusikar@gmail.com

Abstract

Introduction: Calcaneum is a rare site for Ewing’s sarcoma. The treatment includes neoadjuvant systemic therapy followed by surgical resection and adjuvant systemic therapy. The reconstruction options in this era of limb salvage for bone tumors are not much established in calcaneal tumors in view of limited reporting. Various other reconstruction options available are allograft, iliac crest autograft, and custom-made prosthesis.
Case Report: We have reported a 13-year-old female patient with Ewing’s sarcoma of calcaneum diagnosed by imaging and biopsy. The patient underwent neoadjuvant chemotherapy and then had undergone total calcanectomy with allograft reconstruction. The post-operative outcomes are fair, and the patient is on adjuvant chemotherapy at present.
Conclusion: Biological reconstruction in the form of allograft is a reliable option with regard to the functional outcomes for calcaneal resections.
Keywords: Calcaneum, Ewing sarcoma, total calcanectomy, allograft.

Reference:
1. Sherif PA, Santa A. Ewing’s sarcoma of the calcaneum. Indian J Med Paediatr Oncol 2017;38:542-4.
2. Imanishi J, Choong PF. Three-dimensional printed calcaneal prosthesis following total calcanectomy. Int J Surg Case Rep 2015;10:83-7.
3. Ottolenghi CE, Petracchi LJ. Chondromyxosarcoma of the calcaneus; report of a case of total replacement of involved bone with a homogenous refrigerated calcaneus. J Bone Joint Surg 1953;35:211-4.
4. Scoccianti G, Campanacci DA, Innocenti M, Beltrami G, Capanna R. Total calcanectomy and reconstruction with vascularized iliac bone graft for osteoblastoma: A report of two cases. Foot Ankle Int 2009;30:716-20.
5. Kurvin LA, Volkering C, Kessler SB. Calcaneus replacement after total calcanectomy via vascularized pelvis bone. Foot Ankle Surg 2008;14:221-4.
6. Anacak Y, Sabah D, Demirci S, Kamer S. Intraoperative extracorporeal irradiation and re-implantation of involved bone for the treatment of musculoskeletal tumors. J Exp Clin Cancer Res 2007;26:571.
7. Li J, Guo Z, Pei GX, Wang Z, Chen GJ, Wu ZG. Limb salvage surgery for calcaneal malignancy. J Surg Oncol 2010;102:48-53.
8. Brenner P, Zwipp H, Rammelt S. Vascularized double barrel ribs combined with free serrate us anterior muscle transfer for homologous restoration of the hind foot after calcanectomy. J Trauma Acute Care Surg 2000;49:331-5.
9. Elsalanty ME, Genecov DG. Bone grafts in craniofacial surgery. Craniomaxillofac Trauma Reconstr 2009;2:125-34.
10. Chou LB, Malawer MM. Osteosarcoma of the calcaneus treated with prosthetic replacement with twelve years of follow up: A case report. Foot Ankle Int 2007;28:841-4.

How to Cite this article: Shanmugam S, Susikar S, Kannan M | Resection and Reconstruction of Calcaneal Tumors – A Review | Journal of Bone and Soft Tissue Tumors | May-August 2020; 6(2): 2-4.

[Full Text HTML] [Full Text PDF] [XML]

PVNS talus in a patient treated for chondral lesion in ipsilateral calcaneum: A case report and review of literature

Vol 3 | Issue 2 | Sep-Dec 2017 | Page 10-13 | Apurv Gabrani, Hitesh Dawar, Deepak Raina, Surbhit Rastogi

Authors: Apurv Gabrani [1], Hitesh Dawar [1], Deepak Raina [1], Surbhit Rastogi [1].

[1] Indian Spinal Injuries Centre, New Delhi.

Address of Correspondence
Dr . Apurv Gabrani
Ah-22, Shalimar Bagh, New Delhi-110088
Email: apurvgabrani@gmail.com

Abstract

Introduction: PVNS is a locally aggressive synovial proliferative disorder of unknown etiology and has been described in the foot and ankle in previous literature. A case of PVNS in the talus has been described in a patient treated for ipsilateral calcaneal chondral lesion.
Case Report: A 56 year old male presented with pain in his left ankle of 4 months duration. On investigation, he was found to have a well defined lytic lesion in the left calcaneum on x-ray. MRI showed a hyper intense lesion on T2WI. A needle biopsy revealed chondrogenic tumor which was managed by extended curettage. At 12 months follow up, patient presented with recent onset pain over the anterior aspect of left ankle which showed hypo density over the supero-anterior aspect of the talus and MRI showed ill defined hypo intense lesion on T2WI and hyper intense lesion on T1WI. The lesion increased in size on repeat MRI 6 weeks later. He was managed with synovectomy and debridement with core needle biopsy of talus. Histopathological examination revealed features consistent with PVNS. Patient remains asymptomatic at 1 year follow up after surgery.
Conclusion: A double primary lesion although rare, does exist and any recurrence should be viewed at with equal degree of suspicion as the primary lesion.
Keywords: Pigmented villonodular synovitis (PVNS), Talus, Calcaneum, Double Primary lesion, Chondral lesion.

References

1. Granowitz S.P., D’Antonio, j., and Mankin, H.L. The pathogenesis and long term results of PVNS. Clin Orthop 1976 ;114:335-351
2. Bakotic BW, Borkowski P. Primary soft tissue neoplasms of the foot: the clinicopathological features of 401 cases. J Foot Ankle Surg 2001; 40:29-36
3. T. Okoro, S. Isaac, R.U. Ashford, C.J. Kershaw. Pigmented villonodular synovitis of the talonavicular joint: A case report and review of the literature. The Foot 19(2009) 186-188
4. Jaffe HL, Litchtenstein L, Sutro C. Pigmented Villonodular Synovitis: bursitis and tenosynovitis. Arch Pathol 1941;31:731-65
5. Llauger J, Palmer J, Roson N. Pigmented villonodular synovitis and giant cell tumors of the tendon sheath: radiologic and pathologic features. Am J Roentgenol 1999; 172(4): 1087-91
6. Dorwart R.H., Genant H.K., Johnston W.H., and Morris J.M. PVNS of synovial joints: clinical, pathological, and radiologic features. Am J Roentgenol 1984;143:877-885
7. Sharma H, Jane MJ, Reid R. Pigmented villonodular synovitis of the foot and ankle: forty years of experience from the Scottish Bone Tumor Registry. J Foot Ankle Surg 2006;45(5): 329-36
8. Carmon W.A. Pigmented villonodular synovitis. Med Clin North Am 1947; 49:26-38
9. Young JM, Hudacek AG. Experimental production of pigmented villonodular synovitis in dogs. Am J pathol 1954;30:799
10. DeBruin J.A and Rockwood C.A. PVNS: Invasion of bone involving the knee joint. South Med J 1956; 59:466-468
11. McMaster P.E. PVNS with invasion of bone. J Bone Joint Surg 1960; 42A:1170-1183
12. Rothstein A.S. Localized PVNS of the ankle. J Am Podiatr Med Assoc1981; 71:607-610
13. Chung S.M.D., Janes J.M. Diffuse PVNS of the hip joint. J Bone Joint Surg1965; 47A:293-303
14. Bravo S.M., Winalski C.S., Weissman B.N. Pigmented villonodular synovitis. Radiol Clin North Am 1996; 34:311-26
15. Lin J, Jacobson JA, Jamadar DA, Ellis JH. Pigmented villonodular synovitis and related lesions: the spectrum of imaging findings. Am J Roentgenol 1999;172:191-7
16. Berger. I, Ehemann. V, Helmchen. B, Penzel. R, Weckauf. H. Comparative analysis of cell populations involved in the proliferative and inflammatory process in localized and diffuse pigmented villonodular synovitis: Histopathol 2004 Jul;19-3:687-92
17. Lewis R.W. Roentgen diagnosis of PVNS and synovial SA of the knee joint. Radiology1947; 49:26-38
18. Ho C.F. Chiou H.J., Chou Y.H. Peritendinous lesions. The role of high resolution ultrasonography. J. Clin. Imaging 2003;27:239-250
19. Ugai K., Morimoto K. Magnetic resonance imaging of pigmented villonodular synovitis in subtalar joint. Report of a case: Clin Orthop 1992;283:281-4
20. Myers B.W, Masi A.T. Pigmented villonodular synovitis and tenosynovitis: a clinical epidemiological study of 166 cases and literature review. Medicine(Baltimore)1980;59(3):223-38
21. Al-Nakshabandi N.A., Ryan A.G., Choudur H.: Pigmented villonodular synovitis. Clin Radiol 2004;59:414-20
22. Babinas I., De silva U., Grimer R.J. Pigmented villonodular synovitis of the foot and ankle: a 12 year experience from a tertiary orthopedic oncology unit. J Foot Ankle Surg. 2004;43(6):407-11
23. Segler C.P. Irradiation as an adjunctive treatment of diffuse pigmented villonodular synovitis of the foot and ankle prior to tumor surgical excision. Med Hypothesis 2003;61:229-230
24. Byers P.D., Cotton R.E., Deacon O.W., Lowy M., Newmau P.H., Sissons H.A., Thomson A.D.: The diagnosis and treatment of pigmented villonodular synovitis. J Bone Joint Surg1968; 50:290.

How to Cite this article: Gabrani A, Dawar H, Raina D, Rastogi S. PVNS talus in a patient treated for chondral lesion in ipsilateral calcaneum: A case report and review of literature. Journal of Bone and Soft Tissue Tumors Sep-Dec 2017;3(2): 10-13.

 

             

  (Abstract    Full Text HTML)      (Download PDF)