足部血管瘤:手术治疗的临床和功能结果:一个病例系列。

IF 0.5 4区 医学 Q4 ORTHOPEDICS Journal of the American Podiatric Medical Association Pub Date : 2024-05-01 DOI:10.7547/23-025
Edoardo Ipponi, Elena Bechini, Alfio Damiano Ruinato, Silvia De Franco, Antonio D'Arienzo, Lorenzo Andreani
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引用次数: 0

摘要

背景:血管平滑肌瘤是一种良性软组织肿瘤,由血管中膜的平滑肌细胞产生。虽然这类肿瘤最常见的发病部位是子宫壁,但也可能起源于下肢。在所有位于足踝部位的肿瘤中,这类肿瘤占 0.2%。足部血管瘤的症状和体征可能是局部疼痛、肿胀和功能障碍。迄今为止,仅有少数文献报道了此类肿瘤的临床表现和手术治疗的有效性。在本研究中,我们报告了对足部血管网状肌瘤进行手术治疗的结果:方法:2017 年 1 月至 2022 年 1 月期间,13 例足部血管网状肌瘤患者在我院接受了手术切除。我们根据肌肉骨骼肿瘤协会评分(MSTS)和美国骨科足踝协会评分(AOFAS)记录了每个病例的术前和术后症状,以及术前和术后的功能状态。报告了最终并发症和局部复发情况:结果:每位患者在手术治疗前都至少有轻微疼痛。术前MSTS和AOFAS的平均值分别为22.1和76.8。肿瘤平均大小为 17.7 毫米。术前,每位患者都接受了宽切缘切除术。在最近的随访中,没有人出现局部复发或重大并发症。术后,平均 MSTS 和 AOFAS 分别增至 29.5 和 98.8。每个病例术后的功能都明显增强,疼痛也有所减轻:我们的研究结果表明,鉴于局部复发的风险极低,且术后疼痛缓解和功能恢复良好,手术切除肿瘤的方法应被视为治疗足部血管网状肌瘤的一种安全可靠的方法。
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Angioleiomyoma of the Foot: Clinical and Functional Outcomes of Surgical Treatment in a Case Series.

Background: Angioleiomyoma is a benign soft-tissue tumor that arises from the smooth muscle cells in the tunica media of the blood vessels. Although the most common location for these neoplasms is the uterine wall, they can also originate from lower limbs. Altogether, these neoplasms account for 0.2% of all those located in the foot and ankle region. Signs and symptoms of foot angioleiomyoma can be a localized pain, swelling, and functional impairment. To date, only case reports and case series with small populations have been reported in the literature to describe the clinical picture of these neoplasms and the effectiveness of surgical treatment. In this study, we report our results of surgical treatment for angioleiomyomas of the foot.

Methods: Thirteen cases suffering from angioleiomyoma of the foot underwent surgical resection in our institution between January of 2017 and January of 2022. For each case, we recorded preoperative and postoperative symptoms, and their preoperative and postoperative functional status according to both Musculoskeletal Tumor Society Score (MSTS) and American Orthopedic Foot and Ankle Society Score (AOFAS). Eventual complications and local recurrence were reported.

Results: Each patient had at least mild pain before surgical treatment. The mean preoperative MSTS and AOFAS were 22.1 and 76.8, respectively. The mean tumor size was 17.7mm. Preoperatively, each patient underwent resection with wide margins. None had local recurrences or major complications at their latest follow-up. After surgery, the mean postoperative MSTS and AOFAS increased to 29.5 and 98.8, respectively. Each case had a marked increment of their functionality and a reduction of their pain after surgery.

Conclusions: Our results suggest that surgical approach with tumor resection should be considered a safe and reliable treatment for foot angioleiomyomas in light of the extremely low risk of local recurrence and because of the good postoperative pain relief and functional restoration that can be obtained after the treatment.

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来源期刊
CiteScore
1.10
自引率
0.00%
发文量
128
审稿时长
6-12 weeks
期刊介绍: The Journal of the American Podiatric Medical Association, the official journal of the Association, is the oldest and most frequently cited peer-reviewed journal in the profession of foot and ankle medicine. Founded in 1907 and appearing 6 times per year, it publishes research studies, case reports, literature reviews, special communications, clinical correspondence, letters to the editor, book reviews, and various other types of submissions. The Journal is included in major indexing and abstracting services for biomedical literature.
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