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Primary xanthofibroma in the calcaneus: a case report
Ahmet Kapukaya1, Hüseyin Arslan, Emin Özkul
1Department of Orthopaedics and Traumatology, Dicle University, Diyarbakır, Turkey.
Acta Orthopaedica Et Traumatologica Turcica
|July 19, 2011
Summary
Xanthofibroma, a rare bone lesion of foamy histiocytes, can occur in the skeletal system. This case details a successful treatment of primary xanthofibroma in the calcaneus using curettage and grafting.
Area of Science:
- Orthopedic Surgery
- Histopathology
- Metabolic Bone Disease
Background:
- Xanthoma and xanthofibroma are characterized by foamy histiocytes, typically found in soft tissues.
- Skeletal xanthoma can be associated with abnormal lipid metabolism, though primary forms exist.
- The calcaneus is an uncommon site for xanthofibroma development.
Observation:
- A 22-year-old male presented with a primary xanthofibroma in the calcaneus.
- The lesion was surgically treated.
- Treatment involved curettage of the lesion followed by bone grafting.
Findings:
- Histopathological examination confirmed the presence of foamy histiocytes, consistent with xanthofibroma.
- The patient's xanthofibroma was determined to be a primary presentation, not secondary to systemic metabolic abnormalities.
- Successful surgical intervention achieved lesion removal and bone reconstruction.
Implications:
- This case highlights the possibility of primary xanthofibroma occurring in the calcaneus.
- Curettage and grafting represent a viable treatment strategy for calcaneal xanthofibroma.
- Further research into the etiology and optimal management of skeletal xanthomas is warranted.
