RESUMO
The calcifying aponeurotic fibroma is a rare, benign neoplasm that often presents in the palms or soles of young male children. Microscopic examination of this tumor demonstrates atypical fibroblasts, foci of calcification, and patches of chondroid differentiation. The neoplasm's highly cellular architecture, locally aggressive growth pattern, and tendency to recur may lead to a misdiagnosis of fibrosarcoma and subsequent amputation. This manuscript presents a review of the literature and a unique case involving the digits of the foot.
Assuntos
Fibroma/cirurgia , Dedos do Pé , Calcinose , Criança , Diagnóstico Diferencial , Fibroma/diagnóstico por imagem , Fibroma/patologia , Humanos , Masculino , Fotomicrografia , Prognóstico , RadiografiaRESUMO
Soft tissue tumors occur in all parts of the body. Once identified, they must be thoroughly evaluated and treated. Tumoral calcinosis is a metabolic disorder that presents as a soft tissue deposit near large joints in the body. Occasionally, it may occur in the foot and become symptomatic. Once the etiology and pathophysiology is understood, the proper course of treatment may begin.
Assuntos
Calcinose , Doenças do Pé , Adulto , Calcinose/diagnóstico , Calcinose/cirurgia , Feminino , Doenças do Pé/diagnóstico , Doenças do Pé/cirurgia , HumanosRESUMO
Two questions asked prior to podiatric surgery for patients with a history of steroid therapy are: what are the risks involved with surgery and what specific measures should be taken in perioperative management for these patients? Studies identifying normal adrenal response to surgery in patients with a long-term history of steroid use have been noted. This paper discusses use of the metyrapone test to identify patients with adrenal suppression who may require additional steroid coverage perioperatively and empirical steroid dosing regimens.
