Krzywosinski Tarin B, Bingham Adam L, Fallat Lawrence M
Second Year Surgical Resident, Department of Podiatric Surgery, Beaumont Hospital-Wayne, Wayne, MI.
Foot and Ankle Surgeon, Foot and Ankle Specialty Clinic, Russellville, AR.
J Foot Ankle Surg. 2017 Jan-Feb;56(1):125-128. doi: 10.1053/j.jfas.2016.07.002. Epub 2016 Aug 21.
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.
神经内脂肪瘤、神经纤维脂肪瘤、脂肪纤维瘤性错构瘤和神经周脂肪瘤是错构瘤的亚型，通常表现为神经外膜内的纤维脂肪性软组织肿块。已有多例上肢正中神经神经内脂肪瘤的病例报道；然而，由于该病变在足踝部发病率较低，仅有少数涉及腓浅神经的病例报道。我们报告首例42岁女性胫神经神经内脂肪瘤病例，并随访2年。我们讨论了这种独特肿瘤的临床表现、鉴别特征、手术方法及短期预后。
