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Exophytic Angioleiomyoma on the Plantar Foot
Lt Mark A Dreyer1, David Eastman2, Ronald Atwood2
1Naval Health Clinic New England, Newport, RI.
Journal of the American Podiatric Medical Association
|June 20, 2020
Summary
A rare case of pedal angioleiomyoma presented as an exophytic mass on the foot sole. The O-to-Z double-advancement flap surgical technique was used for treatment.
Area of Science:
- Vascular smooth muscle tumors
- Dermatologic surgery
- Foot and ankle pathology
Background:
- Angioleiomyomas are benign tumors typically found in the lower extremities.
- Exophytic presentations of pedal angioleiomyomas are exceptionally rare in medical literature.
Observation:
- A 62-year-old woman presented with a slowly enlarging, exophytic mass on the plantar aspect of her right foot.
- The mass exhibited characteristics requiring surgical intervention.
Findings:
- The case details the successful surgical management of a pedal angioleiomyoma using an O-to-Z double-advancement flap.
- Histologic examination confirmed the diagnosis of angioleiomyoma.
- This report documents the first described instance of an exophytic angioleiomyoma on the foot.
Implications:
- Highlights the importance of considering rare presentations of common tumors.
- Demonstrates the utility of the O-to-Z double-advancement flap for complex foot lesions.
- Contributes novel histopathological and clinical data to the understanding of pedal angioleiomyomas.
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