Sonography of Plantar Fibromatosis

Abstract

Although the sonographic appearances of plantar fibromatosis vary, the appearances are characteristic enough to allow a specific diagnosis to be made. No clear relationship was found among the sonographic appearances, duration of symptoms, or clinical outcome.

A diabetic woman with soft tissue complex pathology

“…Although, the DD and LD have different clinical, temporal and prevalence exposures, some histochemical and ultrastructural similarities connect them to the same root [2]. Nevertheless, some particular histology might also be found [4].…”

“…LD , clear cell sarcoma or desmoid tumor on the basis of their high signal intensity on T-weighted images [6]. Generally, when lesions are disabling the biopsy, excision, chemotherapy or radiotherapy should be considered [2]. Our patient rejected any other diagnostic and therapeutic maneuvers.…”

“…There is an agreement over the relationship between the superficial fibromatosis entities (LD, DD, knuckle pads and Peyronie's disease) and the long-standing poorly controlled DM associated with microvasculopathy [1][2][3]. Although, the DD and LD have different clinical, temporal and prevalence exposures, some histochemical and ultrastructural similarities connect them to the same root [2].…”

“…The patient's complaints consisted in a palpable lump and pain while walking, mainly because the left lesion's size increased for the last three years. According to literature, LD is more confidently diagnosed when clinic and imagistics corroborate [2,5]. CUS scanned a multifaceted potentially aggressive lesion asking for MRI interrogation.…”

“…A non-invasive imaging becomes undoubtedly helpful because they often present clinically undetectable features [1]. Certain ultrastructural similarities suggest a potential identical root at least for superficial proliferative disorders (palmar and plantar fibromatosis, Dupuytren disease, knuckle pads, Peyronie disease or keloids) [2]. We are describing a 50-yearold diabetic insulin-treated female presenting bilateral Ledderhose's disease (LD) and Dupuytren disease (DD), frequently referred to as plantar and palmar fibromatosis.…”