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Lipomas of the Toes: An Eight-Case Series
Xingpei Hao1, Gene Mirkin2, David J Freedman3
1*Pathology Laboratory, Foot and Ankle Specialists of the Mid-Atlantic LLC, Rockville, MD.
Summary
Toe lipomas are rare, slow-growing tumors affecting men and women equally, typically in their 50s. Surgical excision is the optimal treatment with rare recurrence, and MRI aids diagnosis.
Area of Science:
- Orthopedic Surgery
- Dermatology
- Radiology
Background:
- Lipomas, benign tumors of adipose tissue, are common in extremities but rare in toes.
- This study focuses on the clinical presentation, diagnosis, and management of toe lipomas.
Purpose of the Study:
- To describe the clinical characteristics, diagnostic methods, and treatment outcomes of lipomas located on the toes.
- To emphasize the rarity and typical presentation of these tumors.
Main Methods:
- A retrospective analysis of 8 patients diagnosed with toe lipomas over a 5-year period.
- Review of clinical data, imaging (MRI), and treatment outcomes following surgical excision.
Main Results:
- Toe lipomas occurred equally in males and females, with a mean age of 51.75 years.
- Most presented as painless, slow-growing subcutaneous masses, predominantly on the hallux.
- Magnetic resonance imaging (MRI) revealed well-defined masses; all patients treated with surgical excision showed no recurrence.
Conclusions:
- Toe lipomas are rare, slow-growing, painless subcutaneous tumors, equally affecting middle-aged men and women.
- MRI is the preferred diagnostic tool for presurgical evaluation.
- Complete surgical excision is effective, with a low recurrence rate.
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