Forefoot plantar multilobular noninfiltrating angiolipoma: a case report and review of the literature
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Case report
Forefoot plantar multilobular noninfiltrating angiolipoma: a case report and review of the literature Theodoros B Grivas*1, Olga D Savvidou1, Spyridon A Psarakis1, Georgia Liapi2, George Triantafyllopoulos1, Ioannis Kovanis1, Panagiotis Alexandropoulos1 and Vasiliki Katsiva2 Address: 1Orthopaedic and Pathology department, "Thriasio" General Hospital, G. Gennimata Avenue, Magula, 19600 Greece and 2Department of Radiology, General Hospital of Nikea-Pireus, Greece Email: Theodoros B Grivas* - [email protected]; Olga D Savvidou - [email protected]; Spyridon A Psarakis - [email protected]; Georgia Liapi - [email protected]; George Triantafyllopoulos - [email protected]; Ioannis Kovanis - [email protected]; Panagiotis Alexandropoulos - [email protected]; Vasiliki Katsiva - [email protected] * Corresponding author
Published: 30 January 2008 World Journal of Surgical Oncology 2008, 6:11
doi:10.1186/1477-7819-6-11
Received: 5 July 2007 Accepted: 30 January 2008
This article is available from: http://www.wjso.com/content/6/1/11 © 2008 Grivas et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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.
Background Benign lipomatous lesions involving soft tissue are common musculoskeletal masses (almost 50% of all soft-tissue tumors) though they are rare in the foot. They are classified into nine distinct diagnoses: lipoma, lipomatosis, lipomatosis of nerve, lipoblastoma or lipoblastomatosis, angiolipoma, myolipoma of soft tissue, chondroid lipoma, spindle cell lipoma and pleomorphic lipoma, and hibernoma [1]. Angiolipomas are benign neoplasms and have been first described by Bowen in 1912 [2], but were first established as a distinct entity in 1960 by Howard and Helwig [3]. The
presence of fibrinous microthrombi is a distinctive feature that differentiates angiolipomas from other lipomas. Sometimes the tumor may be more aggressive and invade the contiguous bone and adjacent soft tissues [4]. We report here a case of angiolipoma of the foot.
Case presentation A 47-year-old man was admitted to our department with a soft nodula
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