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Bone tumors of the pediatric foot: imaging appearances

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Abstract

Tumors of the foot are rare in children. This review illustrates radiographic, CT and MR imaging findings of foot bone tumors in children based on all cases presented in a tertiary pediatric hospital during the 15-year period of 1999–2014. This search revealed 155 tumors of the foot, 72 of the bones and 83 of the soft tissues. Osteochondroma, bone cyst and fibrous dysplasia were the most frequent benign bone lesions. Ewing sarcoma was the most common malignant osseous tumor. Some tumors showed higher prevalence in certain age ranges and others showed predilection for specific bones. Radiographs are useful for diagnosis in the majority of cases but CT and MR imaging provide additional valuable information in select cases for diagnosis and determining extent of the lesions. Radiologists should be aware of some typical imaging findings in bone tumors of the foot in order to establish diagnosis and facilitate patient management.

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References

  1. Buchner M, Bernd L, Zahlten-Hinguranage A et al (2005) Bone and soft-tissue tumors of the foot and ankle. Chirurg 76:391–397

    Article  CAS  PubMed  Google Scholar 

  2. Unni KK (1996) Dahlin’s bone tumors: general aspects and data on 11,087 cases, 5th edn. Lippincott-Raven, Philadelphia

    Google Scholar 

  3. Singer AD, Datir A, Tresley J et al (2016) Benign and malignant tumors of the foot and ankle. Skelet Radiol 45:287–305

    Article  Google Scholar 

  4. Berquist TH, Dalinka MK, Alazraki N et al (2000) Bone tumors: American college of radiology — ACR appropriateness criteria. Radiology 215:261–264

    PubMed  Google Scholar 

  5. Costelloe CM, Madewell JE (2013) Radiography in the initial diagnosis of primary bone tumors. AJR Am J Roentgenol 200:3–7

    Article  PubMed  Google Scholar 

  6. Fornage BD, Rifkin MD (1988) Ultrasound examination of the hand and foot. Radiol Clin N Am 26:109–129

    CAS  PubMed  Google Scholar 

  7. Aisen AM, Martel W, Braunstein EM et al (1986) MRI and CT evaluation of primary bone and soft-tissue tumors. AJR Am J Roentgenol 146:749–756

    Article  CAS  PubMed  Google Scholar 

  8. Zimmer WD, Berquist TH, McLeod RA et al (1985) Bone tumors: magnetic resonance imaging versus computed tomography. Radiology 155:709–718

    Article  CAS  PubMed  Google Scholar 

  9. Beltran J, Chandnani V, McGhee RA Jr et al (1991) Gadopentetate dimeglumine-enhanced MR imaging of the musculoskeletal system. AJR Am J Roentgenol 156:457–466

    Article  CAS  PubMed  Google Scholar 

  10. Jahss MH, Olives R (1980) The foot and ankle in multiple hereditary exostoses. Foot Ankle 1:128–142

    Article  CAS  PubMed  Google Scholar 

  11. Kransdorf MJ, Moser RP, Gilkey FW (1990) Fibrous dysplasia. Radiographics 10:519–537

    Article  CAS  PubMed  Google Scholar 

  12. Fletcher CD, Hogendoorn P, Mertens F et al (2013) WHO classification of tumours of soft tissue and bone, 4th edn. IARC Press, Lyon

    Google Scholar 

  13. Murari TM, Callaghan JJ, Berrey BH Jr et al (1989) Primary and malignant osseous lesions of the foot. Foot Ankle 10:68–80

    Article  CAS  PubMed  Google Scholar 

  14. Fisher TJ, Williams N, Morris L et al (2013) Metachondromatosis: more than just multiple osteochondromas. J Child Orthop 7:455–464

    Article  PubMed  PubMed Central  Google Scholar 

  15. Schamale GA, Hawkins DS, Rutledge J et al (2010) Malignant progression in two children with multiple osteochondromas. Sarcoma 2010:417105

    Google Scholar 

  16. DaCambra MP, Gupta SK, Ferri-de-Barros F (2014) Subungual exostosis of the toes: a systematic review. Clin Orthop Relat Res 472:1251–1259

    Article  PubMed  Google Scholar 

  17. Unni KK, Inwards CY, Bridge JA et al (2005) AFIP atlas of tumor pathology series 4. Tumors of the bones and joints, 1st edn. ARP Press, Silver Spring

    Google Scholar 

  18. Fink BR, Temple HT, Chiricosta FM et al (1997) Chondroblastoma of the foot. Foot Ankle Int 18:236–242

    Article  CAS  PubMed  Google Scholar 

  19. Sharma H, Jane MJ, Reid R (2006) Chondromyxoid fibroma of the foot and ankle: 40 years’ Scottish bone tumour registry experience. Int Orthop 30:205–209

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  20. Lucas DR, Unni KK, McLeod RA et al (1994) Osteoblastoma: clinicopathologic study of 306 cases. Hum Pathol 25:117–134

    Article  CAS  PubMed  Google Scholar 

  21. Laurence N, Epelman M, Markowitz RI et al (2012) Osteoid osteomas: a pain in the night diagnosis. Pediatr Radiol 42:1490–1501

    Article  PubMed  Google Scholar 

  22. Choong PF, Qureshi AA, Sim FH et al (1999) Osteosarcoma of the foot: a review of 52 patients at the Mayo Clinic. Acta Orthop Scand 70:361–364

    Article  CAS  PubMed  Google Scholar 

  23. Biscaglia R, Gasbarrini A, Böhling T et al (1998) Osteosarcoma of the bones of the foot — an easily misdiagnosed malignant tumor. Mayo Clin Proc 73:842–847

    Article  CAS  PubMed  Google Scholar 

  24. Baraga J, Amrami KK, Swee RG et al (2001) Radiographic features of Ewing’s sarcoma of the bones of the hands and feet. Skelet Radiol 30:121–126

    Article  CAS  Google Scholar 

  25. Biscaglia R, Bacchini P, Bertoni F (2000) Giant cell tumor of the bones of the hand and foot. Cancer 88:2022–2032

    Article  CAS  PubMed  Google Scholar 

  26. Larochelle O, Périgny M, Lagacé R et al (2006) Epithelioid hemangioendothelioma of bone. Radiographics 26:265–270

    Article  PubMed  Google Scholar 

  27. Urakawa H, Tsukushi S, Hosono K et al (2014) Clinical factors affecting pathological fracture and healing of unicameral bone cysts. BMC Musculoskelet Disord 15:159

    Article  PubMed  PubMed Central  Google Scholar 

  28. Remotti F, Feldman F (2012) Nonneoplastic lesions that simulate primary tumors of bone. Arch Pathol Lab Med 136:772–788

    Article  PubMed  Google Scholar 

  29. Tsai JC, Dalinka M, Fallon M et al (1990) Fluid-fluid level: a non-specific finding in tumors of bone and soft tissue. Radiology 175:779–782

    Article  CAS  PubMed  Google Scholar 

  30. Muthusamy S, Subhawong T, Conway SA et al (2015) Locally aggressive fibrous dysplasia mimicking malignancy: a report of four cases and review of the literature. Clin Orthop Relat Res 473:742–750

    Article  PubMed  Google Scholar 

  31. Ippolito E, Bray EW, Corsi A et al (2003) Natural history and treatment of fibrous dysplasia of bone: a multicenter clinicopathologic study promoted by the European Pediatric Orthopaedic Society. J Pediatr Orthop 12:155–177

    Google Scholar 

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Correspondence to Oscar M. Navarro.

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Caro-Domínguez, P., Navarro, O.M. Bone tumors of the pediatric foot: imaging appearances. Pediatr Radiol 47, 739–749 (2017). https://doi.org/10.1007/s00247-016-3752-2

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  • DOI: https://doi.org/10.1007/s00247-016-3752-2

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