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Zaher A, Yasser J, Badaro D, Sekkach N. Unusual Presentation of Leiomyoma in the Hindfoot. Case Rep Orthop 2024; 2024:1217277. [PMID: 38516613 PMCID: PMC10957246 DOI: 10.1155/2024/1217277] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2023] [Revised: 02/01/2024] [Accepted: 03/01/2024] [Indexed: 03/23/2024] Open
Abstract
A leiomyoma is a benign smooth muscle tumor that is most commonly found in the uterus. Limited studies have reported leiomyoma of the foot, rendering it an usual finding. We present a case of a 57-year-old female patient who presented to the clinic for a painless mass on the posteromedial side of the right heel. It was diagnosed by the radiologist on MRI as a probable schwannoma. The patient underwent surgical excision of this mass which turned out to be a leiomyoma on pathology report. Although foot leiomyoma is a rare finding, leiomyoma should be listed in the differential diagnosis when evaluating foot soft tissue masses. It is difficult to confirm the diagnosis clinically and radiographically, yet a histologic evaluation can affirm the diagnosis. Surgical excision is the treatment of choice offering immediate symptomatic relief.
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Affiliation(s)
- Abdullah Zaher
- Department of Orthopedics and Traumatology, Centre Hospitalier de Saint-Denis, Hôpital Delafontaine, Saint-Denis, France
| | - Jaouad Yasser
- Department of Orthopedics and Traumatology, Centre Hospitalier de Saint-Denis, Hôpital Delafontaine, Saint-Denis, France
| | | | - Noureddine Sekkach
- Department of Orthopedics and Traumatology, Centre Hospitalier de Saint-Denis, Hôpital Delafontaine, Saint-Denis, France
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Nessenius F, Zucal I, Allmann JK, Spreitzer S, Marti R. Incidental deep soft tissue leiomyoma of the groin - a case report and comprehensive review of literature. J Surg Case Rep 2024; 2024:rjae020. [PMID: 38304319 PMCID: PMC10832606 DOI: 10.1093/jscr/rjae020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2023] [Accepted: 01/11/2024] [Indexed: 02/03/2024] Open
Abstract
Leiomyomas are rare, benign tumors arising from smooth muscle cells. Due to the heterogeneous anatomical locations, as well as clinical and radiological findings, early and correct diagnosis is usually tricky. The clinical symptoms depend on the anatomical structure the tumors are compromising by their growth. We present a case of a 53-year-old male patient who suffered from swelling of the right foot and ankle. Initially, arthritis and deep vein thrombosis were ruled out. As the swelling progressed to the entire leg, CT scan was performed showing a tumor compressing the right femoral vein. However, a magnetic resonance imaging (MRI) and a biopsy did not show any conclusive findings. Tumor excision was planned and immunohistochemical staining confirmed leiomyoma. The authors conclude that unspecific, progressive symptoms should prompt further investigation and whenever planning a biopsy, a possible malignant finding should be considered and excision of the biopsy canal together with the tumor must be assured.
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Affiliation(s)
- Falk Nessenius
- Department of Vascular Surgery, Cantonal Hospital Aarau, Tellstrasse 25, 5001 Aarau, Switzerland
| | - Isabel Zucal
- Department of Vascular Surgery, Cantonal Hospital Aarau, Tellstrasse 25, 5001 Aarau, Switzerland
| | | | - Stefan Spreitzer
- Department of Pathology, Cantonal Hospital Aarau, Tellstrasse 25, 500 Aarau, Switzerland
| | - Regula Marti
- Department of Vascular Surgery, Cantonal Hospital Aarau, Tellstrasse 25, 5001 Aarau, Switzerland
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Leiomyoma as a lead point for small bowel intussusception in a 16-year-old. JOURNAL OF PEDIATRIC SURGERY CASE REPORTS 2022. [DOI: 10.1016/j.epsc.2022.102262] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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Savage P, Zyzda M, Kruse DL, Stone PA. Leiomyoma of the Foot: A Case Report and Literature Review. J Foot Ankle Surg 2019; 58:573-576. [PMID: 30803909 DOI: 10.1053/j.jfas.2018.08.017] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/29/2017] [Indexed: 02/03/2023]
Abstract
Leiomyomas within the foot are rare occurrences that are difficult to diagnose clinically and radiographically. They are benign and tend to be slow growing, often with minimal or no pain. We present an unusual case of a worker's compensation patient who presented with a new-onset mass within his foot that was thought to be a fibroma, but was later discovered to be a fast-growing leiomyoma after surgical excision. We also present a review of the literature regarding leiomyomas within the foot and ankle.
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Affiliation(s)
- Phillip Savage
- First Year Resident, Highlands-Presbyterian/St. Luke's Podiatric Medicine and Surgery Residency Program, Denver, CO
| | - Michael Zyzda
- Attending Staff, Highlands-Presbyterian/St. Luke's Podiatric Medicine and Surgery Residency Program, Denver, CO
| | - Dustin L Kruse
- Director of Research, Highlands-Presbyterian/St. Luke's Podiatric Medicine and Surgery Residency Program, Denver, CO
| | - Paul A Stone
- Program Director, Highlands-Presbyterian/St. Luke's Podiatric Medicine and Surgery Residency Program, Denver, CO.
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Hernandez K, East B, Hutchinson M, Smith M, Williams N. Unique case of 'trigger wrist' secondary to deep tissue leiomyoma in a healthy 6-year-old. ANZ J Surg 2019; 90:176-178. [PMID: 30861629 DOI: 10.1111/ans.15062] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2018] [Revised: 11/07/2018] [Accepted: 12/04/2018] [Indexed: 11/29/2022]
Affiliation(s)
- Kevyn Hernandez
- Department of Orthopaedic Surgery, Women's and Children's Hospital, Adelaide, South Australia, Australia.,Centre for Orthopaedic and Trauma Research, The University of Adelaide, Adelaide, South Australia, Australia
| | - Benjamin East
- Department of Orthopaedic Surgery, Women's and Children's Hospital, Adelaide, South Australia, Australia.,Centre for Orthopaedic and Trauma Research, The University of Adelaide, Adelaide, South Australia, Australia
| | - Matthew Hutchinson
- Department of Orthopaedic Surgery, Women's and Children's Hospital, Adelaide, South Australia, Australia.,Centre for Orthopaedic and Trauma Research, The University of Adelaide, Adelaide, South Australia, Australia
| | - Michael Smith
- Department of Orthopaedic Surgery, Women's and Children's Hospital, Adelaide, South Australia, Australia.,Centre for Orthopaedic and Trauma Research, The University of Adelaide, Adelaide, South Australia, Australia
| | - Nicole Williams
- Department of Orthopaedic Surgery, Women's and Children's Hospital, Adelaide, South Australia, Australia.,Centre for Orthopaedic and Trauma Research, The University of Adelaide, Adelaide, South Australia, Australia
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Abstract
UNLABELLED Leiomyoma is a benign soft-tissue tumor that can arise in any soft tissue; however, in the extremities, it is usually a subcutaneous mass. Masses in the foot and ankle in general are rare, and few reports in the literature describe leiomyoma in this region of the body. We present a series of 8 cases of leiomyoma of the foot and ankle, 4 of which are subclassified as angioleiomyomas. The characteristic patient presentation, imaging, and histological findings are presented here to increase awareness of this soft-tissue mass in the foot and ankle. LEVELS OF EVIDENCE Level V.
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Affiliation(s)
- Lauren K Szolomayer
- Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, Connecticut (LKS, WFC, DML).,University of Michigan Health System, South Main Orthopaedics, Ann Arbor, Michigan (PGT)
| | - Paul G Talusan
- Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, Connecticut (LKS, WFC, DML).,University of Michigan Health System, South Main Orthopaedics, Ann Arbor, Michigan (PGT)
| | - Wayne F Chan
- Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, Connecticut (LKS, WFC, DML).,University of Michigan Health System, South Main Orthopaedics, Ann Arbor, Michigan (PGT)
| | - Dieter M Lindskog
- Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, Connecticut (LKS, WFC, DML).,University of Michigan Health System, South Main Orthopaedics, Ann Arbor, Michigan (PGT)
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Ince E, Oğuzkurt P, Canpolat ET, Temiz A, Hiçsönmez A. Congenital leiomyoma of the distal ileum associated with ileal atresia: a case report. J Pediatr Surg 2013; 48:e33-5. [PMID: 23480946 DOI: 10.1016/j.jpedsurg.2012.12.052] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/12/2012] [Revised: 12/27/2012] [Accepted: 12/28/2012] [Indexed: 10/27/2022]
Abstract
Association of distal ileal atresia with leiomyoma is a quite rare condition. Herein, we describe a newborn who underwent surgery for ileal atresia and was found to have leiomyoma on pathological examination in the atretic segment. The presence of leiomyoma may indicate a malformation during recanalization and could play a role in the etiology of intestinal atresia. Thus, some cases of atresia may be due to tumor (leiomyoma) in the bowel wall.
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Affiliation(s)
- Emine Ince
- Department of Pediatric Surgery, Baskent University Faculty of Medicine, Ankara, Turkey.
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