Erosive Breast Cancer Metastasis to the Ankle: A Case Report.

MedStar author(s):
Citation: Journal of Foot & Ankle Surgery. 55(6):1297-1301, 2016 Nov - DecPMID: 26387056Institution: Medstar Franklin Square Medical CenterDepartment: Harry and Jeanette Weinberg Cancer Institute, Form of publication: Journal ArticleMedline article type(s): Case Reports | Journal ArticleSubject headings: *Ankle Joint | *Bone Neoplasms/sc [Secondary] | *Breast Neoplasms/pa [Pathology] | *Carcinoma/sc [Secondary] | *Talus | Female | Humans | Middle AgedYear: 2016Local holdings: Available online through MWHC library: 2003 - present, Available in print through MWHC library:1999-2007ISSN:
  • 1067-2516
Name of journal: The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle SurgeonsAbstract: Intra-articular tumors in the ankle are a rare presentation for metastatic disease. Metastatic breast disease presenting distal to the knee or within any joint is especially rare. We present a case of a painful intra-articular breast metastasis in a 56-year-old female with known breast carcinoma. The patient presented with anterior ankle pain and was found to have an intra-articular ankle tumor that was eroding into the anteromedial talus. The distinct soft tissue tumor was excised from the ankle and the talar lesion curetted and treated with adjuvant chemical ablation. The void in the talus was filled with cement. Despite the patient's poor prognosis, she did not have ankle pain at 6 months postoperatively and was able to ambulate without assistive devices. When treating unknown tumors in the ankle, the treating surgeon must be prepared with different operative plans that will depend on the preliminary pathology report to best treat their patients safely. Copyright (c) 2015 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.All authors: Aboulafia A, Jaffe D, Kim EFiscal year: FY2017Digital Object Identifier: Date added to catalog: 2017-08-22
Holdings
Item type Current library Collection Call number Status Date due Barcode
Journal Article MedStar Authors Catalog Article 26387056 Available 26387056

Available online through MWHC library: 2003 - present, Available in print through MWHC library:1999-2007

Intra-articular tumors in the ankle are a rare presentation for metastatic disease. Metastatic breast disease presenting distal to the knee or within any joint is especially rare. We present a case of a painful intra-articular breast metastasis in a 56-year-old female with known breast carcinoma. The patient presented with anterior ankle pain and was found to have an intra-articular ankle tumor that was eroding into the anteromedial talus. The distinct soft tissue tumor was excised from the ankle and the talar lesion curetted and treated with adjuvant chemical ablation. The void in the talus was filled with cement. Despite the patient's poor prognosis, she did not have ankle pain at 6 months postoperatively and was able to ambulate without assistive devices. When treating unknown tumors in the ankle, the treating surgeon must be prepared with different operative plans that will depend on the preliminary pathology report to best treat their patients safely. Copyright (c) 2015 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.

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