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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Format: | Article |
Language: | English |
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Malaysian Orthopaedic Association
2008-11-01
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Series: | Malaysian Orthopaedic Journal |
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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. |
first_indexed | 2024-12-19T12:24:20Z |
format | Article |
id | doaj.art-30fd8105460e4c3593cafaa5c425c220 |
institution | Directory Open Access Journal |
issn | 1985-2533 |
language | English |
last_indexed | 2024-12-19T12:24:20Z |
publishDate | 2008-11-01 |
publisher | Malaysian Orthopaedic Association |
record_format | Article |
series | Malaysian Orthopaedic Journal |
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 |