Neural fibrolipomas are hamartomas of peripheral nerves. They are benign, usually manifesting as a soft, slowly growing painless fusiform swelling of a segment of peripheral nerve. This condition is common in the upper limb, but the condition is very rare on foot. We hereby report a case of painful neural fibrolipoma of medial branch of the superficial peroneal nerve of the foot. The patient presented with swelling associated with pain. Histopathological examination of the excised specimen showed features of a hamartoma of the nerve.
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