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MEDICINA E CHIRURGIA DELLA CAVIGLIA E DEL PIEDE
A Journal on Physiopathology and Surgery of the Foot
Indexed/Abstracted in: EMBASE, Scopus
Chirurgia del Piede 2012 April;36(1):51-4
Hell bone lipoma: case report
D’Arrigo A., Arenas Planelles A., Tejero A., Eraso Lara I., Jimenez Sarmiento O.
Unità di Chirurgia del Piede e Caviglia, Ospedale di Navarra, Pamplona, Spagna
AIM: This reports describes a case of bilateral heel bone lipoma, the rarest primary musculoskeletal tumor. The most common sites of involvement are the metaphysis of long bones, the proximal metaphysis of the humerus, the distal and proximal femur, the tibia, the fibula, the calcaneus and the astragalus. Lesions are usually solitary, though cases of multiple lesions in the same patient have been described.
METHODS:A 38-year-old man was seen in the emergency department because of a sprain in both ankles. X-ray showed bilateral osteolysis with a sclerotic border. As the patient had been asymptomatic before current presentation, conservative treatment was elected.
RESULTS:Long-term outcome at 1 year was good, with no clinical symptoms or functional limitations.
CONCLUSION: Lipoma of the bone is a rare tumor with a typically benign history. Treatment is conservative in most cases, though surgery may be necessary in some.