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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 nodule was excised via a plantar approach using a longitudinal incision dictated by the morphology of the corn.
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Figure 6: The nodule was excised via a plantar approach using a longitudinal incision dictated by the morphology of the corn.

Mentions: Marginal surgical excision was performed. The nodule was excised via a plantar approach using a longitudinal incision dictated by the morphology of the corn (figure 6). The location of the presented lesion warranted the use of a plantar approach. Macroscopically the nodule measuring 7 × 4 × 4 cm was encapsulated and multilobular having a vascular pedicle which was cauterized, (figure 7, 8). The mass was totally resected without the need to sacrifice the surrounding structures. The cut surface was solid and yellow with a reddish tinge. In the report describing the pathological examination, it was written the following: "Gross pathology: The specimen 7 × 5 × 2 cm. with ill defined margins was yellowish and elastic in consistency. Histologically: the mass was comprised of mature adipose and proliferated vascular tissue in various proportion from field to field with no signs of atypia in either of the two components, (Figure 9, 10). Many vessels were thick-walled with collagen deposition which caused obstruction of their lumens (figure 11), while very few capillaries demonstrated fibrin thrombi (figure 12). Adipose tissue showed degenerative lesions with focal deposition of acidic mucopolysaccharides (figure 13). Focal fibrosis and plenty of mast cells were also detected in the interstitial stroma.


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 nodule was excised via a plantar approach using a longitudinal incision dictated by the morphology of the corn.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 6: The nodule was excised via a plantar approach using a longitudinal incision dictated by the morphology of the corn.
Mentions: Marginal surgical excision was performed. The nodule was excised via a plantar approach using a longitudinal incision dictated by the morphology of the corn (figure 6). The location of the presented lesion warranted the use of a plantar approach. Macroscopically the nodule measuring 7 × 4 × 4 cm was encapsulated and multilobular having a vascular pedicle which was cauterized, (figure 7, 8). The mass was totally resected without the need to sacrifice the surrounding structures. The cut surface was solid and yellow with a reddish tinge. In the report describing the pathological examination, it was written the following: "Gross pathology: The specimen 7 × 5 × 2 cm. with ill defined margins was yellowish and elastic in consistency. Histologically: the mass was comprised of mature adipose and proliferated vascular tissue in various proportion from field to field with no signs of atypia in either of the two components, (Figure 9, 10). Many vessels were thick-walled with collagen deposition which caused obstruction of their lumens (figure 11), while very few capillaries demonstrated fibrin thrombi (figure 12). Adipose tissue showed degenerative lesions with focal deposition of acidic mucopolysaccharides (figure 13). Focal fibrosis and plenty of mast cells were also detected in the interstitial stroma.

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