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Synovial Sarcoma of the Foot

A Case Report

Roger Racz Division of Podiatric Medicine and Surgery, Department of Orthopaedics, The University of Texas Health Science Center at San Antonio, San Antonio, TX.

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Ronald Belczyk Division of Podiatric Medicine and Surgery, Department of Orthopaedics, The University of Texas Health Science Center at San Antonio, San Antonio, TX.

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Ronald P. Williams Division of Podiatric Medicine and Surgery, Department of Orthopaedics, The University of Texas Health Science Center at San Antonio, San Antonio, TX.

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Martin P. Fernandez Division of Podiatric Medicine and Surgery, Department of Orthopaedics, The University of Texas Health Science Center at San Antonio, San Antonio, TX.

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Thomas Zgonis Division of Podiatric Medicine and Surgery, Department of Orthopaedics, The University of Texas Health Science Center at San Antonio, San Antonio, TX.

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We report a case of a 40-year-old woman with synovial sarcoma who presented with neural symptoms in the medial aspect of the right foot and ankle. The radiographic appearance of the foot and ankle was unremarkable, but magnetic resonance imaging showed a relatively well-defined enhancing lesion in the plantar soft tissues extending from the master knot of Henry to the posterior tibialis tendon. After orthopedic oncologic evaluation and workup, the patient was ultimately treated with a transtibial amputation, and no evidence of recurrence or metastatic disease was seen at 6-month follow-up. (J Am Podiatr Med Assoc 100(3): 216–219, 2010)

Corresponding author: Thomas Zgonis, DPM, Division of Podiatric Medicine and Surgery, Department of Orthopaedics, The University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Dr, MCS 7776, San Antonio, TX 78229. (E-mail: zgonis@uthscsa.edu)