Intraneural Lipoma of the Tibial Nerve: A Case Report

Abstract Intraneural lipomas, neurofibrolipomas, lipofibromatous hamartomas, and perineural lipomas are subsets of hamartomas that typically present as fibroadipose, soft tissue masses within the epineurium of a nerve. Several cases involving intraneural lipomas of the median nerve in the upper extr...

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Bibliographic Details
Published in:The Journal of foot and ankle surgery 2017-01, Vol.56 (1), p.125-128
Main Authors: Krzywosinski, Tarin B., DPM, Bingham, Adam L., DPM, Fallat, Lawrence M., DPM, FACFAS
Format: Article
Language:English
Subjects:
Ankle Joint - pathology
Ankle Joint - surgery
Biopsy, Needle
Female
Follow-Up Studies
Humans
Immunohistochemistry
lipofibromatous hamartoma
Lipoma - diagnostic imaging
Lipoma - pathology
Lipoma - surgery
Magnetic Resonance Imaging - methods
Middle Aged
neural fibrolipoma
neurolipomatosis
Neurosurgical Procedures - methods
Orthopedics
Pain Measurement
Patient Positioning
perineural lipoma
Peripheral Nervous System Neoplasms - diagnostic imaging
Peripheral Nervous System Neoplasms - pathology
Peripheral Nervous System Neoplasms - surgery
Rare Diseases
Tibial Nerve - diagnostic imaging
Tibial Nerve - pathology
Tibial Nerve - surgery
Treatment Outcome
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Summary:Abstract Intraneural lipomas, neurofibrolipomas, lipofibromatous hamartomas, and perineural lipomas are subsets of hamartomas that typically present as fibroadipose, soft tissue masses within the epineurium of a nerve. Several cases involving intraneural lipomas of the median nerve in the upper extremity have been reported; however, owing to the lesion's rare incidence in the foot and ankle, only a select few cases involving the superficial peroneal nerve have been reported. We present the first case of a tibial nerve intraneural lipoma in a 42-year-old female with a follow-up period of 2 years. We discuss the clinical presentation, distinguishing features, surgical procedures, and short-term outcome regarding this unique tumor.
ISSN:1067-2516
1542-2224
DOI:10.1053/j.jfas.2016.07.002