Huge Liposarcoma of the Forefoot: A Case Report

Abstract

Sarcomas of the foot are conventionally treated with amputation. However, limb salvage procedures are possible in cases of specific histological patterns. We report a rare case of a huge myxoid liposarcoma of the dorsal and plantar aspect of the forefoot. A 47 years-old woman was admitted to our Institution complaining of a painless huge mass of the dorsal and plantar aspect of the left forefoot. Following the patient’s medical history remarking a previous myxoid liposarcoma, this finding was interpreted as a local recurrence. The mass was explored through radiographic, magnetic resonance imaging and bone scan assessments. An incisional biopsy was performed, and a myxoid liposarcoma was ultimately diagnosed. A limb salvage procedure was performed in association with coverage plastic surgery. Postoperative stay was uneventfully. Forty days after surgery the patient underwent a cycle of radiotherapy. At 10 year follow-up the patient had a good functionality without signs of local recurrence nor metastatic spread.