Late diagnosis of heel sarcoma
DOI:
https://doi.org/10.31837/cir.urug/5.1.3Keywords:
sarcoma, heel, surgery}Abstract
39-year-old woman, consulted for heel pain for a year, with anodyne X-ray. At 5 months, she presented an abscessed tumor in the heel (Fig. 1), and drainage and biopsy of the tumor was performed, which reported high-grade spindle cell sarcoma. An MRI study was completed, which described a 5-cm excretory tumor contacting the calcaneus and plantar fascia (Fig. 2: yellow arrows).
It was pending to start chemotherapy. After a month, she presented with cough and hemoptysis, and the chest tomography revealed bilateral pulmonary metastases with a large tumor in the right upper lobe (Fig. 3: yellow arrows).
At 15 days, he presented an acute abdomen, and emergency surgery was found to find jejunal perforation due to a tumor implant with peritoneal carcinomatosis and multiple liver metastases. A segmental resection of the jejunum with anastomosis was performed, and she was discharged and died after a month due to the evolution of the disease.
Sarcomas present a rapid progression with development of metastases. The early diagnosis of these tumors is vital to improve the prognosis.
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