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Journal of Neurology, Neurosurgery, and Psychiatry logoLink to Journal of Neurology, Neurosurgery, and Psychiatry
. 1987 Apr;50(4):479–481. doi: 10.1136/jnnp.50.4.479

Not tarsal tunnel syndrome: a malignant "Triton" tumour of the tibial nerve.

C M Wiles, S Whitehead, A B Ward, C D Fletcher
PMCID: PMC1031887  PMID: 3585361

Abstract

A 23 year old male patient presented with a venous thrombosis in the right calf. This was followed by symptoms, signs and electromyographic findings suggestive of a tarsal tunnel syndrome. Symptoms were briefly relieved by surgical division of the flexor retinaculum. Subsequently, patient developed swelling in the calf and was found to have a malignant ("Triton") tumour of the tibial nerve and required above knee amputation. In the absence of obvious foot or ankle deformity, caution should be exercised in making the diagnosis of tarsal tunnel syndrome.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Brooks J. S., Freeman M., Enterline H. T. Malignant "Triton" tumors. Natural history and immunohistochemistry of nine new cases with literature review. Cancer. 1985 Jun 1;55(11):2543–2549. doi: 10.1002/1097-0142(19850601)55:11<2543::aid-cncr2820551105>3.0.co;2-4. [DOI] [PubMed] [Google Scholar]
  2. Ducatman B. S., Scheithauer B. W. Malignant peripheral nerve sheath tumors with divergent differentiation. Cancer. 1984 Sep 15;54(6):1049–1057. doi: 10.1002/1097-0142(19840915)54:6<1049::aid-cncr2820540620>3.0.co;2-1. [DOI] [PubMed] [Google Scholar]
  3. Edwards W. G., Lincoln C. R., Bassett F. H., 3rd, Goldner J. L. The tarsal tunnel syndrome. Diagnosis and treatment. JAMA. 1969 Jan 27;207(4):716–720. [PubMed] [Google Scholar]
  4. Goodgold J., Kopell H. P., Spielholz N. I. The tarsal-tunnel syndrome. Objective diagnostic criteria. N Engl J Med. 1965 Sep 30;273(14):742–745. doi: 10.1056/NEJM196509302731405. [DOI] [PubMed] [Google Scholar]
  5. Lloyd K., Agarwal A. Tarsal-tunnel syndrome, a presenting feature of rheumatoid arthritis. Br Med J. 1970 Jul 4;3(5713):32–32. doi: 10.1136/bmj.3.5713.32. [DOI] [PMC free article] [PubMed] [Google Scholar]

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