발과 발목에서 발생한 종양의 치료 및 예후

• Published in: 대한족부족관절학회지 Vol. 28; no. 2; pp. 55 - 59
• Main Authors: 한승수, 김정일, 고태식, 우승훈, 김지연, Seung Soo Han, Jeung Il Kim, Tae Sik Goh, Seung Hun Woo, Ji Youn Kim
• Format: Journal Article
• Language: Korean
• Published: 대한족부족관절학회 01.06.2024
• Subjects: 정형외과학; Ankle; Malignant tumor; Tumor-like lesion; Benign tumor; Foot
• ISSN: 1738-3757; 2288-8551
• DOI: 10.14193/jkfas.2024.28.2.55

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.