Synovial Sarcoma- An unusual cause of Heel Pain

We report a case of 29-year-old female who presented with right heel pain that worsened over a period of two years. The onset of pain was followed by swelling at the medial aspect of right ankle. She was initially treated for plantar fasciitis with multiple steroid injections over the heel. Subseque...

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Main Authors: MY Norhamdan, Y Shahril, O Masbah, Siti Aishah MA
Format: Article
Language:English
Published: Malaysian Orthopaedic Association 2008-11-01
Series:Malaysian Orthopaedic Journal
Subjects:
Online Access:http://morthoj.org/2008v2n2/Synovial_Sarcoma.pdf
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author MY Norhamdan
Y Shahril
O Masbah
Siti Aishah MA
author_facet MY Norhamdan
Y Shahril
O Masbah
Siti Aishah MA
author_sort MY Norhamdan
collection DOAJ
description We report a case of 29-year-old female who presented with right heel pain that worsened over a period of two years. The onset of pain was followed by swelling at the medial aspect of right ankle. She was initially treated for plantar fasciitis with multiple steroid injections over the heel. Subsequent MRI revealed a well-defined heterogeneous lesion in continuity with the medial plantar nerve. Excision biopsy was performed and histopathological evaluation revealed monophasic synovial sarcoma. The patient subsequently underwent wide resection and free tissue transfer followed by radiotherapy and chemotherapy. This case highlights an unusual site and presentation of synovial sarcoma which led to delayed diagnosis and treatment.
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spelling doaj.art-30fd8105460e4c3593cafaa5c425c2202022-12-21T20:21:38ZengMalaysian Orthopaedic AssociationMalaysian Orthopaedic Journal1985-25332008-11-01223133Synovial Sarcoma- An unusual cause of Heel PainMY Norhamdan0Y Shahril1O Masbah2 Siti Aishah MA3MS (Ortho)MS (Ortho)MS (Ortho)MIACWe report a case of 29-year-old female who presented with right heel pain that worsened over a period of two years. The onset of pain was followed by swelling at the medial aspect of right ankle. She was initially treated for plantar fasciitis with multiple steroid injections over the heel. Subsequent MRI revealed a well-defined heterogeneous lesion in continuity with the medial plantar nerve. Excision biopsy was performed and histopathological evaluation revealed monophasic synovial sarcoma. The patient subsequently underwent wide resection and free tissue transfer followed by radiotherapy and chemotherapy. This case highlights an unusual site and presentation of synovial sarcoma which led to delayed diagnosis and treatment.http://morthoj.org/2008v2n2/Synovial_Sarcoma.pdfHeel painMonophasic synovial sarcomaWide resection
spellingShingle MY Norhamdan
Y Shahril
O Masbah
Siti Aishah MA
Synovial Sarcoma- An unusual cause of Heel Pain
Malaysian Orthopaedic Journal
Heel pain
Monophasic synovial sarcoma
Wide resection
title Synovial Sarcoma- An unusual cause of Heel Pain
title_full Synovial Sarcoma- An unusual cause of Heel Pain
title_fullStr Synovial Sarcoma- An unusual cause of Heel Pain
title_full_unstemmed Synovial Sarcoma- An unusual cause of Heel Pain
title_short Synovial Sarcoma- An unusual cause of Heel Pain
title_sort synovial sarcoma an unusual cause of heel pain
topic Heel pain
Monophasic synovial sarcoma
Wide resection
url http://morthoj.org/2008v2n2/Synovial_Sarcoma.pdf
work_keys_str_mv AT mynorhamdan synovialsarcomaanunusualcauseofheelpain
AT yshahril synovialsarcomaanunusualcauseofheelpain
AT omasbah synovialsarcomaanunusualcauseofheelpain
AT sitiaishahma synovialsarcomaanunusualcauseofheelpain