Koray Şahin, MD, Serkan Bayram, MD, Ahmet Salduz, MD

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Presentation transcript:

Calcaneal Ewing's Sarcoma With Skip Metastases to Tarsals and Lymph Node Involvement: A Case Report Koray Şahin, MD, Serkan Bayram, MD, Ahmet Salduz, MD The Journal of Foot and Ankle Surgery DOI: 10.1053/j.jfas.2017.07.002 Copyright © 2017 American College of Foot and Ankle Surgeons Terms and Conditions

Fig. 1 Clinical view of the foot with a soft tissue mass on the lateral side of the foot and dilated subcutaneous veins, a hemorrhagic ulcer, and diffuse crust seen on the mass. The Journal of Foot and Ankle Surgery DOI: (10.1053/j.jfas.2017.07.002) Copyright © 2017 American College of Foot and Ankle Surgeons Terms and Conditions

Fig. 2 Preoperative (A) anteroposterior and (B) lateral plain radiographs of the foot. The Journal of Foot and Ankle Surgery DOI: (10.1053/j.jfas.2017.07.002) Copyright © 2017 American College of Foot and Ankle Surgeons Terms and Conditions

Fig. 3 Preoperative magnetic resonance imaging of the foot on (A and B) T1- and (C and D) T2-weighted sequences. The Journal of Foot and Ankle Surgery DOI: (10.1053/j.jfas.2017.07.002) Copyright © 2017 American College of Foot and Ankle Surgeons Terms and Conditions

Fig. 4 Magnetic resonance imaging studies of (A) pelvis and right knee [(B) axial, (C) sagittal, (D) coronal] showing pathologic lymph node involvement of inguinal and popliteal lymph nodes. The Journal of Foot and Ankle Surgery DOI: (10.1053/j.jfas.2017.07.002) Copyright © 2017 American College of Foot and Ankle Surgeons Terms and Conditions

Fig. 5 Histopathologic view of tumor tissue (A) at ×20 and (B) ×40 magnification with hematoxylin-eosin staining. Histopathologic view of dissected inguinal lymph node with tumor invasion on (C) ×10 and (D) ×20 magnification with hematoxylin-eosin stain. The Journal of Foot and Ankle Surgery DOI: (10.1053/j.jfas.2017.07.002) Copyright © 2017 American College of Foot and Ankle Surgeons Terms and Conditions

Fig. 6 Perioperative clinical view of dissected (A) inguinal and (B) popliteal lymph nodes. Postoperative (C) anteroposterior and (D) lateral plain radiographs of the patient. The Journal of Foot and Ankle Surgery DOI: (10.1053/j.jfas.2017.07.002) Copyright © 2017 American College of Foot and Ankle Surgeons Terms and Conditions