Fibrolipomatous Hamartoma in the Foot: Magnetic Resonance Imaging and Surgical Treatment by Akira Ogose, Tetsuo Hotta, Takeshi Higuchi, Naoko Katsumi,

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Presentation transcript:

Fibrolipomatous Hamartoma in the Foot: Magnetic Resonance Imaging and Surgical Treatment by Akira Ogose, Tetsuo Hotta, Takeshi Higuchi, Naoko Katsumi, Hisao Koda, and Hajime Umezu J Bone Joint Surg Am Volume 84(3): March 1, 2002 ©2002 by The Journal of Bone and Joint Surgery, Inc.

Figs. 1-A through 1-D Case 1. Akira Ogose et al. J Bone Joint Surg Am 2002;84: ©2002 by The Journal of Bone and Joint Surgery, Inc.

Operative photograph showing the exposed fibrofatty tumor intermixed with the swollen medial plantar nerve (arrows) and a tumor in the great toe (arrowheads). Akira Ogose et al. J Bone Joint Surg Am 2002;84: ©2002 by The Journal of Bone and Joint Surgery, Inc.

Photograph showing the resected tumor (the left side is distal). Akira Ogose et al. J Bone Joint Surg Am 2002;84: ©2002 by The Journal of Bone and Joint Surgery, Inc.

Histological section showing nerve bundles (arrows) and perivascular fibrosis (arrowheads) with surrounding and infiltrating fibrofatty tissue (stars) (magnification, 90). Akira Ogose et al. J Bone Joint Surg Am 2002;84: ©2002 by The Journal of Bone and Joint Surgery, Inc.

Figs. 2-A through 2-E Case 2. Akira Ogose et al. J Bone Joint Surg Am 2002;84: ©2002 by The Journal of Bone and Joint Surgery, Inc.

Axial T2 ‐ weighted magnetic resonance image (repetition time, 3500 msec; echo time, 96 msec), made at the distal level of the leg, showing a fatty tumor with central signal voids (arrow). Akira Ogose et al. J Bone Joint Surg Am 2002;84: ©2002 by The Journal of Bone and Joint Surgery, Inc.

Operative photograph showing the exposed fibrofatty tumor intermixed with the swollen superficial peroneal nerve (arrow). Akira Ogose et al. J Bone Joint Surg Am 2002;84: ©2002 by The Journal of Bone and Joint Surgery, Inc.

Low-power micrograph of a histological section, made at almost the same level as Fig. 2-B, showing that the signal voids on magnetic resonance images correspond to the nerve fascicles and the perineural fibrosis (magnification, 5). Akira Ogose et al. J Bone Joint Surg Am 2002;84: ©2002 by The Journal of Bone and Joint Surgery, Inc.

Histological section showing nerve bundles with perineural fibrosis surrounding and infiltrating fibrofatty tissue (magnification, 90). Akira Ogose et al. J Bone Joint Surg Am 2002;84: ©2002 by The Journal of Bone and Joint Surgery, Inc.