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Forefoot plantar multilobular noninfiltrating angiolipoma: a case report and review of the literature.

Grivas TB, Savvidou OD, Psarakis SA, Liapi G, Triantafyllopoulos G, Kovanis I, Alexandropoulos P, Katsiva V - World J Surg Oncol (2008)

Bottom Line: We present a case of a large multilobular noninfiltrating angiolipoma at the plantar surface of the forefoot.Only three cases occurring at the foot have been previously described.Surgical excision is the treatment of choice and adjuvant radiotherapy is indicated in select cases.

View Article: PubMed Central - HTML - PubMed

Affiliation: Orthopaedic and Pathology department, Thriasio General Hospital, G, Gennimata Avenue, Magula, 19600 Greece. grivastb@vodafone.net.gr

ABSTRACT

Background: Soft tissue tumors of the feet are uncommon and there have been very few reports of large series in the literature. These tumors continue to present the clinician with one of the most difficult problems in medicine.

Case presentation: We present a case of a large multilobular noninfiltrating angiolipoma at the plantar surface of the forefoot. Only three cases occurring at the foot have been previously described. We report this new case due to unusual location of the tumor, the long duration (25 years) of its existence and the unique surgical approach for the tumor excision.

Conclusion: Surgical excision is the treatment of choice and adjuvant radiotherapy is indicated in select cases.

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Related in: MedlinePlus

The coronal STIR image through the phalanges. It showed signal suppression of the fatty component and high intensity of the non-fatty component.
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Figure 5: The coronal STIR image through the phalanges. It showed signal suppression of the fatty component and high intensity of the non-fatty component.

Mentions: Radiographs of the foot and computer tomography (CT) demonstrated a soft-tissue lesion with no osseous involvement. Magnetic resonance imaging (MRI) revealed a well-defined mass located at the plantar forefoot with no apparent bone infiltration, (figure 2). The sagittal T1-weighted image revealed a lobulated, encapsulated, fatty mass (signal intensity identical to subcutaneous fat) with multiple hypointense nodules and septa in the subcutaneous layer of the forefoot, underneath the plantar aponeurosis, (figure 3). The corresponding sagittal T1-weighted contrast enhanced image, revealed that the non-fatty component does not show any apparent enhancement, (figure 4). Finally the coronal STIR image through the phalanges showed signal suppression of the fatty component and high intensity of the non-fatty component, (figure 5). The above assessment was not diagnostic for the pathology, although the duration and the rough imaging of the nodule were not implicating a malignancy.


Forefoot plantar multilobular noninfiltrating angiolipoma: a case report and review of the literature.

Grivas TB, Savvidou OD, Psarakis SA, Liapi G, Triantafyllopoulos G, Kovanis I, Alexandropoulos P, Katsiva V - World J Surg Oncol (2008)

The coronal STIR image through the phalanges. It showed signal suppression of the fatty component and high intensity of the non-fatty component.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2267467&req=5

Figure 5: The coronal STIR image through the phalanges. It showed signal suppression of the fatty component and high intensity of the non-fatty component.
Mentions: Radiographs of the foot and computer tomography (CT) demonstrated a soft-tissue lesion with no osseous involvement. Magnetic resonance imaging (MRI) revealed a well-defined mass located at the plantar forefoot with no apparent bone infiltration, (figure 2). The sagittal T1-weighted image revealed a lobulated, encapsulated, fatty mass (signal intensity identical to subcutaneous fat) with multiple hypointense nodules and septa in the subcutaneous layer of the forefoot, underneath the plantar aponeurosis, (figure 3). The corresponding sagittal T1-weighted contrast enhanced image, revealed that the non-fatty component does not show any apparent enhancement, (figure 4). Finally the coronal STIR image through the phalanges showed signal suppression of the fatty component and high intensity of the non-fatty component, (figure 5). The above assessment was not diagnostic for the pathology, although the duration and the rough imaging of the nodule were not implicating a malignancy.

Bottom Line: We present a case of a large multilobular noninfiltrating angiolipoma at the plantar surface of the forefoot.Only three cases occurring at the foot have been previously described.Surgical excision is the treatment of choice and adjuvant radiotherapy is indicated in select cases.

View Article: PubMed Central - HTML - PubMed

Affiliation: Orthopaedic and Pathology department, Thriasio General Hospital, G, Gennimata Avenue, Magula, 19600 Greece. grivastb@vodafone.net.gr

ABSTRACT

Background: Soft tissue tumors of the feet are uncommon and there have been very few reports of large series in the literature. These tumors continue to present the clinician with one of the most difficult problems in medicine.

Case presentation: We present a case of a large multilobular noninfiltrating angiolipoma at the plantar surface of the forefoot. Only three cases occurring at the foot have been previously described. We report this new case due to unusual location of the tumor, the long duration (25 years) of its existence and the unique surgical approach for the tumor excision.

Conclusion: Surgical excision is the treatment of choice and adjuvant radiotherapy is indicated in select cases.

Show MeSH
Related in: MedlinePlus