A rare case of plantar lipoma

Moustaide, Kaoutar; Gallouj, S.; Nassiri, Aicha; Mernissi, Fatima Zahra

doi:10.15406/jdc.2018.02.00060

Cited by 2 publications

(4 citation statements)

References 3 publications

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“…Lipomas are four times more prevalent in males than females, often occurring in obese subjects between the ages of 40–60 2,3,9,10 . The incidence of benign lipoma to the sole of the foot is uncommon 13–15 …”

Section: Introductionmentioning

confidence: 99%

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Surgical excision of complex lipoma from the foot: A case report

Uddin

Flanagan

Reilly

2022

Clinical Case Reports

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Malignant soft tissue tumors of the foot and ankle are rare but diagnostic imaging and/or interventional biopsy are vital to establish the nature and grading of a suspicious tumor prior to definitive surgical intervention. The purpose of the study is to provide an account on how a symptomatic mass of the plantar aspect of the foot warranted a referral to a sarcoma center, highlighting the importance of having access to diagnostic imaging and a pathway to refer suspected cases to specialist centers. A single patient with a symptomatic soft tissue tumor of the plantar foot was referred from our service to the regional sarcoma center who considered to be benign, and therefore, open surgical resection was performed by our team. Histopathological analysis identified the excised mass as a lipoma. At 2 years, postoperatively there was no recurrence, and the patient presented with an asymptomatic foot. United Kingdom (UK) guidelines suggest that all soft tissue masses of suspicious nature, greater than 50 mm, deep seated irrespective of size, or fast growing lesions should be referred to a sarcoma unit prior to surgical management. European guidance identifies a threshold of 15 mm for a mass in the foot. Patients presenting with red flag symptoms irrespective of size of mass should be referred to a sarcoma center. Advanced imaging and multidisciplinary input to enable appropriate surgical planning is recommended for suspicious soft tissue tumors that present to the foot and ankle surgeon.

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Section: Introductionmentioning

confidence: 99%

“…2,3,9,10 The incidence of benign lipoma to the sole of the foot is uncommon. [13][14][15] Primary malignant and metastatic tumors in the foot and ankle have been reported to be rare. 16 An atypical lipomatous tumor is considered synonymous with a welldifferentiated liposarcoma, and it is identified as the most common soft tissue sarcoma in adults.…”

mentioning

confidence: 99%

Surgical excision of complex lipoma from the foot: A case report

Uddin

Flanagan

Reilly

2022

Clinical Case Reports

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“…Lipoma defined as a ubiquitous swelling is a usual soft-tissue swelling and represents about 50% of all soft-tissue swelling [ 1 ]. One-fourth of soft-tissue swelling is generally malignant [ 2 ]. Lipoma is rarely found in the sole.…”

Section: Introductionmentioning

confidence: 99%

“…Lipoma is rarely found in the sole. This is because it comprises mature fat cells that are typically discovered in regions where there is rich adipose tissue [ 2 , 3 ].…”

Section: Introductionmentioning

confidence: 99%

Lipoma on the Sole of the Left Foot: Case Report

Tano¹,

Tano²,

Sonsomir³

et al. 2022

JOCR

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Introduction: Lipomas are benign soft-tissue swelling commonly found on the neck, upper back, trunk, and shoulder but are rare in the foot and particularly in the sole. Case Report: This is a case of lipoma in a 49-year-old female teacher with 2 months history of painless swelling at the sole of the left foot which later became painful when it was traumatized. The patient was referred from a peripheral hospital to a teaching hospital in Ghana. Ultrasonography assessment revealed a hematoma, so our surgical team decided to do an excision biopsy under a popliteal block. Intraoperative findings revealed a lipoma and the mass was sent for histopathological assessment. The excised mass microscopically showed lobules of mature fat cells with areas of fibrous septae which have blood vessels and some nerves. The histopathological report revealed a diagnosis of fibro lipoma with no signs of malignancy. The surgery was uneventful and a 6-month follow-up period showed a healed wound and the patient can fully step on her left foot. Conclusion: The rare nature of a lipoma found at the plantar surface of the foot makes this case interesting and the creation of awareness can help heighten the index of skepticism among clinicians especially when patients present with a swelling on the sole which has been traumatized. The Doppler ultrasound findings were different from our surgical findings; therefore, lipoma should be a differential diagnosis of swelling on the sole of the feet associated with trauma. Keywords: Lipoma, benign tumor, popliteal block, histopathology, case report.

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A rare case of plantar lipoma

Cited by 2 publications

References 3 publications

Surgical excision of complex lipoma from the foot: A case report

Surgical excision of complex lipoma from the foot: A case report

Lipoma on the Sole of the Left Foot: Case Report

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