Unusual Pathology Presentation, Chondroblastic Osteosarcoma of the Right Calcaneal Bone.

Authors

DOI:

https://doi.org/10.56294/saludcyt20251216

Keywords:

heel, Chronic pain, Inflammation, Osteosarcoma

Abstract

Introduction: tumors that form in the bones of the foot are considered an uncommon or unusual finding in the medical setting. In most cases, the tumors are identified incidentally through imaging studies, and are generally classified as benign, meaning that they are not cancerous and do not pose a significant health risk. However, it is important to exercise appropriate caution, as these malignant bone tumors, which can form in the calcaneus, are particularly aggressive in nature and require specialized care. Lesions that are considered malignant tend to manifest themselves with increased frequency and, when they do, are often accompanied by symptoms such as pain and marked swelling in the affected area. Osteosarcoma is the most common primary non-hematopoietic malignant bone tumor in children and adolescents. However, it rarely occurs in the calcaneus and there are only a few case reports in the literature. The aim of the present case report is to learn about the clinical presentation of this unusual clinical and surgical pathology. 
Case Report: 13-year-old patient presented with mild pain in the right heel for approximately 6 months, which intensified during sports activities. Three hours ago, the patient was playing soccer and the symptomatology was exacerbated. 
Conclusion: the relevance of a preliminary diagnosis and the early administration of adequate treatment for osteosarcoma in people who experience chronic pain in the heel area is of utmost importance. Furthermore, it underscores the need to consider osteosarcoma as a diagnostic possibility to be considered in adolescents suffering from chronic heel pain, even though this disease is relatively uncommon.

References

1. Lingala H, Vecham R, Shah R, Reddy AVG. Calcaneal Osteosarcoma: A Rare Instance in Adolescent Patient. J Orthop Case Rep [Internet]. 2023;13(10):168–73. Available from: https://jocr.co.in/wp/2023/10/10/calcaneal-osteosarcoma-a-rare-instance-in-adolescent-patient/

2. Futani H, Takaki H, Sawai T, Taniguchi J, Kako Y, Ide YH, et al. Long-term survival following radiofrequency ablation of lung metastases in an elderly patient with calcaneal osteosarcoma: A case report and review of the literature. Medicine (United States). 2021 Aug 27;100(34):E26681.

3. Kantiwal P, Yadav SK, Nalwa A, Rajnish RK. Primary Ewing’s sarcoma of the talus. BMJ Case Rep [Internet]. 2023 Dec 1;16(12):e258243. Available from: http://casereports.bmj.com/content/16/12/e258243.abstract

4. Singh D, Sen R, Chaudhary S, Tripathy SK. Periosteal Osteosarcoma of the Calcaneum: A Case Report. Foot Ankle Spec [Internet]. 2012 Feb 15;5(2):121–3. Available from: https://doi.org/10.1177/1938640011434510

5. Şahin K, Bayram S, Salduz A. Calcaneal Ewing’s Sarcoma With Skip Metastases to Tarsals and Lymph Node Involvement: A Case Report. The Journal of Foot and Ankle Surgery [Internet]. 2018 Jan 1;57(1):162–6. Available from: https://doi.org/10.1053/j.jfas.2017.07.002

6. Taslakian B, Issa G, Saab R, Jabbour MN, Khoury NJ, Nabil D, et al. Calcaneal osteosarcoma: a rare cause of heel pain in the paediatric population. BMJ Case Rep. 2013;

7. Weger C, Frings A, Friesenbichler J, Grimer R, Andreou D, Machacek F, et al. Osteolytic lesions of the calcaneus: Results from a multicentre study. Int Orthop. 2013 Sep;37(9):1851–6.

8. Calogero V, Florio M, Careri S, Aulisa AG, Falciglia F, Giordano M. Paediatric Calcaneal Osteochondroma: A Case Report and a Literature Review. Diseases. 2024 Aug 1;12(8).

9. Hamrouni N, Højvig JH, Petersen MM, Hettwer W, Jensen LT, Bonde CT. Total calcaneal reconstruction using a massive bone allograft and a distally pedicled osteocutaneous fibula flap: A novel technique to prevent amputation after calcaneal malignancy. Journal of Plastic, Reconstructive and Aesthetic Surgery. 2023 Jan 1;76:44–8.

10. Temple EW, Prusa RD. Calcaneal Bone Tumors. Clin Podiatr Med Surg. 2021 Apr 1;38(2):227–33.

11. Toepfer A, Potocnik P, Harrasser N, Schubert T, Khan Z, Farei-Campagna JM. Principles of Defect Reconstruction After Wide Resection of Primary Malignant Bone Tumors of the Calcaneus: A Contemporary Review. Foot Ankle Orthop. 2024 Jul 1;9(3).

12. Torner F, Nuñez JH, Inarejos Clemente EJ, Garraus M, Suñol M, Martínez AD, et al. Total calcaneal allograft reconstruction of an Ewing’s sarcoma in a child: Outcome and review of the literature. Cancer Rep. 2022 Sep 1;5(9).

13. Halfpap J, Allen C, Deyle G. Calcaneal osteosarcoma in a patient referred for plantar heel pain. Vol. 49, Journal of Orthopaedic and Sports Physical Therapy. Movement Science Media; 2019. p. 285.

14. Leithner A, Bodo K, Scheipl S, Radl R, Kastner N, Windhager R. Two Cases of Calcaneal Osteosarcomas Presenting as Aneurysmal Bone Cysts. Foot Ankle Int [Internet]. 2004 Nov 1;25(11):815–8. Available from: https://doi.org/10.1177/107110070402501111

15. Chou LB, Malawer MM. Osteosarcoma of the Calcaneus Treated with Prosthetic Replacement with Twelve Years of Followup: A Case Report. Foot Ankle Int [Internet]. 2007 Jul 1;28(7):841–4. Available from: https://doi.org/10.3113/FAI.2006.0841

16. Li J, Wang Z. Surgical Treatment of Malignant Tumors of the Calcaneus. J Am Podiatr Med Assoc [Internet]. 2014;104(1):71–6. Available from: https://japmaonline.org/view/journals/apms/104/1/0003-0538-104.1.71.xml

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Published

2025-04-04

How to Cite

1.
Andaluz López BN, Maldonado Samaniego EL, Salavarría Tutivén AN, Diaz Erique PB, Zuñiga Ampudia B, Sanchez Gutierrez JF, et al. Unusual Pathology Presentation, Chondroblastic Osteosarcoma of the Right Calcaneal Bone. Salud, Ciencia y Tecnología [Internet]. 2025 Apr. 4 [cited 2025 Apr. 22];5:1216. Available from: https://sct.ageditor.ar/index.php/sct/article/view/1216