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Liposarcoma of the great toe: a case report.
[pleomorphic liposarcoma]
Soft
tissue
sarcomas
are
rare
malignancies
,
of
which
liposarcomas
are
the
most
common
.
Pleomorphic
liposarcoma
accounts
for
5
%
of
liposarcoma
diagnoses
and
most
commonly
presents
in
the
thigh
.
A
57
-
year
-old
female
presented
with
a
5
-
year
history
of
a
persistent
,
painless
swelling
of
the
left
great
toe
that
had
been
previously
diagnosed
and
treated
as
an
in
-grown
toenail
.
After
magnetic
resonance
imaging
and
core
biopsy
,
a
grade
2
pleomorphic
liposarcoma
was
diagnosed
.
Treatment
consisted
of
neoadjuvant
radiotherapy
and
amputation
of
the
great
toe
and
proximal
half
of
the
first
metatarsal
with
primary
closure
.
The
patient
had
no
evidence
of
local
recurrence
or
metastatic
disease
after
1
year
of
follow-up
and
,
with
the
use
of
a
prosthesis
,
had
a
good
functional
outcome
.
This
is
the
first
documented
presentation
of
a
high
-grade
pleomorphic
liposarcoma
of
the
great
toe
to
our
knowledge
.
Although
soft
tissue
sarcomas
are
rare
,
a
high
index
of
suspicion
is
required
by
clinicians
when
presented
with
a
soft
tissue
mass
to
promptly
diagnose
and
treat
these
potentially
fatal
lesions
.
