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Limb Salvage in Recurrent Synovial Sarcoma of the Right Ankle and Lower Leg

Ellen Sobel, DPM, PhD^*, Renato Giorgini, DPM, Ruben Oropeza, MD, Kalyani Bapat, MD and Hugh Richardson, DPM^||

^* Diplomate, American Board of Podiatric Orthopedics and Primary Podiatric Medicine; Professor, New York College of Podiatric Medicine, Division of Orthopedics, 53 E 124 St, New York, NY 10035.
Fellow, American College of Foot and Ankle Surgeons, Professor and Former Chairman, Division of Surgery, New York College of Podiatric Medicine; Podiatric Surgery and Residency Director, North General Hospital, New York, NY.
Assistant Professor of Surgery, New York University and Columbia University, New York, NY; Attending Surgeon, North General Hospital, New York, NY.
Pathologist, North General Hospital, New York, NY.
^|| Surgical Fellow, North General Hospital, New York, NY.

Abstract

Synovial sarcoma of the extremities represents 7% of all soft-tissue sarcomas. This article presents the case of a patient who was treated for a synovial sarcoma of the lateral aspect of the distal lower leg extending to the ankle and involving the fibular bone. The patient underwent a wide excision of the tumor, including the fibular bone, followed by radiation and chemotherapy, rather than undergo an amputation of the right leg. Consideration is also given to the traumatic etiology of the tumor. (J Am Podiatr Med Assoc 92(2): 90-96, 2002)