INTRAOSSEOUS LIPOMA OF THE CALCANEUS: CASE REPORT OF A RARE BENIGN BONE TUMOR
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Abstract
Intraosseous lipoma is one of the rarest primary bone tumors in the body. The reported incidence rate is <0.1% of all primary bone tumors. The majority of intraosseous lipoma cases in the calcaneus are asymptomatic and are often discovered incidentally when the patient undergoes X-rays or are misdiagnosed in the clinical context of heel pain, such as plantar fasciitis, retrocalcaneal bursitis, stress fracture, simple bone cyst, aneurysmal bone cyst, osteoblastoma, non-ossifying fibroma, giant cell tumor, chondroblastoma, fibrous dysplasia, and chondrosarcoma. This is a case of a 37-year-old male patient who presented with persistent heel pain for about 3 months, with no history of trauma, and was diagnosed and treated for plantar fasciitis without improvement. X-ray images showed an osteolytic lesion within the calcaneus, and Magnetic Resonance Imaging (MRI) revealed a well-circumscribed mass with signal characteristics of adipose tissue. The patient underwent surgical curettage of the tumor and allograft bone grafting. At 1-year follow-up, the patient was pain-free, with good functional outcomes and good graft consolidation observed on X-ray films.
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U xương, u mỡ trong xương
References
[2] Sharma PK, Kundu ZS, Tiwari V, Digge VK, Sharma J. Intraosseous Lipoma of the Calcaneum. Cureus. 13(8):e16929. doi:10.7759/cureus.16929
[3] Pappas AJ, Haffner KE, Mendicino SS. An intraosseous lipoma of the calcaneus: a case report. J Foot Ankle Surg. 2014;53(5):638-642. doi:10. 1053/ j.jfas.2014.03.007
[4] Mawardi M, Hussin P. Intraosseous Lipoma of the Calcaneum: A rare cause of heel pain. Malays Fam Physician. 2018;13(3):38-39.
[5] Hatori M, Hosaka M, Ehara S, Kokubun S. Imaging features of intraosseous lipomas of the calcaneus. Arch Orthop Trauma Surg. 2001;121(8):429-432. doi:10.1007/s004020100269
[6] E E, W L, Gm K, K R, A A, Z G. Intraosseous lipoma. A clinical, radiologic, and pathologic study of 5 cases. Annals of diagnostic pathology. 2007;11(5). doi:10.1016/j.anndiagpath.2006.09.006
[7] Balbouzis T, Alexopoulos T, Grigoris P. Os calcis lipoma: To graft or not to graft? - A case report and literature review. World J Orthop. 2019;10(7):292-298. doi:10.5312/wjo.v10.i7.292
[8] Bertram C, Popken F, Rütt J. Intraosseous lipoma of the calcaneus. Langenbecks Arch Surg. 2001;386(5):313-317. doi:10.1007/s004230100202
[9] Narang S, Gangopadhyay M. Calcaneal intraosseous lipoma: a case report and review of the literature. J Foot Ankle Surg. 2011;50(2):216-220. doi:10. 1053/j.jfas.2010.12.004
[10] Karthik K, Aarthi S. Intraosseous lipoma of the calcaneus mimicking plantar fascitis. Foot Ankle Surg. 2011;17(2):e25-27. doi:10.1016/j.fas.2010.10.004
[11] Campbell RSD, Grainger AJ, Mangham DC, Beggs I, Teh J, Davies AM. Intraosseous lipoma: report of 35 new cases and a review of the literature. Skeletal Radiol. 2003;32(4):209-222. doi:10.1007/s00256-002-0616-7
[12] Ulucay C, Altintas F, Ozkan NK, Inan M, Ugutmen E. Surgical treatment for calcaneal intraosseous lipomas. Foot (Edinb). 2009;19(2):93-97. doi:10. 1016/j. foot.2009.01.005