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R B Spencer

Publications and source records attributed to R B Spencer.

5 recordsLinked to original sources

Chondroid syringoma. A rare occurrence in the hallux.

The gross and histologic characteristics of chondroid syringoma were discussed. A case history of the fourth published occurrence of this rare tumor of the lower extremity was presented. Because of the rare occurrence of this tumor in the lower extremity, chondroid syringoma can easily be misdiagnosed. However, it should be included in the differential diagnosis of any slow-growing solid nodule in the skin. In the case presented, the hallux was saved by the persistence of the podiatrist and pathologist in obtaining second and third opinions on the histologic presentation of this rare tumor.

Adenoma, Sweat Gland

Incidence of postoperative infection in a free-standing ambulatory surgery center.

A 1-year study was undertaken at the Hugar Surgery Center, a freestanding ambulatory surgery center, to determine the infection rate for outpatient podiatric surgery. One hundred and forty-eight patients underwent foot surgery that included digital, soft tissue, metatarsal, simple bunionectomies, complex hallux abducto valgus correction with osteotomy and internal fixation, first metatarsophalangeal joint implant arthroplasty, midfoot, and rearfoot procedures. An infection rate of 1.35% was identified. The study indicates all types of podiatric surgery may be performed at ambulatory surgery centers without increased risk of postoperative infection. Infection rate of 1.35% is quite acceptable for clean foot surgery and compares rather favorably with hospital infection rates.

Chicago