Tumor in the Foot

Abstract

Tumors occurring in the dorsal aspect of the foot preclude the possibility of limb-preserving resection unless they are small, located superficially, and do not extend into the surface of the bone. Conservative surgery is combined with neoadjuvant intra-arterial chemotherapy, systemic chemotherapy, or both, preoperative radiation or adjuvant postoperative radiation therapy. Tumors occurring in the plantar surface of the foot are more common, however, probably because of the larger amount of tissue available for the development of such tumors in the plantar surface compared with the dorsal aspect. In the sole of the foot, the superficial muscle layer consists of the abductor hallucis, flexor digitorum brevis, and abductor digiti minimi. These muscles can be removed without any obvious functional difficulty for the patient.