Dr. Amini also suggested extra peritoneal desmoid…..which I have seen in the forefoot and can look very similar—though the case I saw didn’t destroy bone at the time I imaged the patient.
I have a call into the podiatrist and will try to make sure the patient gets to an orthopedic oncologist and gets biopsied.
Hopefully there will be a way to get follow up. I’ll try.
On Mon, Apr 3, 2023 at 2:21 PM hilary umans <hilary.umans> wrote:
Almost complete destruction of the proximal phalanx, with smooth erosion of the stump and smooth erosion of the base of the middle phalanx.
There is a large ST mass replacing the proximal phalanx and invading the middle phalanx. Only mild subcutaneous edema.
The ST mass surrounds the MT head where there is mild marrow edema but no definite erosion or bone destruction.
I’m considering GCTTS and gout. Is there anything else to consider?
The symptoms and swelling are chronic and sound relatively mild compared to the imaging findings.Thanks.
Hilary
