Department of Orthopaedic Surgery, Korea University Guro Hospital, 148 Gurodong-ro, Guro-gu, Seoul, 08308, Republic of Korea.
Department of Orthopaedic Surgery, Korea University Ansan Hospital, 123 Jeokgeum-ro, Danwon-gu, Ansan, 15355, Republic of Korea.
Foot Ankle Surg. 2020 Dec;26(8):943-945. doi: 10.1016/j.fas.2020.01.008. Epub 2020 Feb 5.
A 48-year-old woman visited our outpatient clinic complaining of discomfort while wearing shoes due to a large mass around her Achilles tendon. The mass was firm, non-tender, non-reducible, and moved with the Achilles tendon, similar to Achilles tendon xanthoma. However, magnetic resonance imaging revealed multiple heterogeneous, nodular lesions with low T1 and T2 signal intensity, and histological examination of the biopsy specimen revealed the mass to contain hyphae of Aspergillus, indicating aspergilloma. The purpose of this case report is to emphasize that a tumor around the Achilles tendon can be something other than xanthoma even when the clinical features are typical of xanthoma. LEVEL OF CLINICAL EVIDENCE: 4.
一位 48 岁女性因足跟腱周围肿块导致穿鞋不适而就诊于我院门诊。肿块质地坚硬，无触痛，不可移动，与跟腱活动度一致，类似跟腱黄色瘤。然而，磁共振成像显示多个异质性、结节状病变，T1 和 T2 信号强度低，活检标本的组织学检查显示肿块内含有曲霉菌丝，提示为曲霉肿。本病例报告旨在强调，即使临床特征典型为黄色瘤，跟腱周围的肿瘤也可能不是黄色瘤。临床证据等级：4 级。
