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METASTATIC CHONDROID SYRINGOMA
Author(s) -
Carey Smith R. L.,
Taylor P.,
Zelei D.,
Robbins P.,
Wood D.
Publication year - 2007
Publication title -
anz journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.426
H-Index - 70
eISSN - 1445-2197
pISSN - 1445-1433
DOI - 10.1111/j.1445-2197.2007.04127_38.x
Subject(s) - medicine , surgery , amputation , nephrectomy , metastasis , radiography , general surgery , cancer , kidney
A 51 year old man presented in 1975 at the age of 19 with a right hallux mass and underwent wide local excision, pathology revealing a chondroid syringoma. This was complicated by local recurrence within 12 months requiring 1st ray excision and a transposition flap. He was symptom free for 12 years and represented with pain on weight bearing. There was a 1 year delay in management as he refused amputation, and underwent “natural treatment by diet”. Subsequent above knee amputation was performed with radiographic evidence of chest metastasis. He represented in 2004 with an abdominal mass and had a nephrectomy for metastasis, and in 2006 with proximal femoral metastasis requiring allograft reconstruction of the hip. 33 years from initial diagnosis with a documented 13 year history of thoracic metasteses we review the literature on chondroid syringoma.