Zeitschrift für Integrative Onkologie

Huge Liposarcoma of the Forefoot: A Case Report

Abstract

Sebastiano Barreca, Domenico Fenga, Francesco Rosario Campo and Michele Attilio Rosa

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.