Delgadillo L A, Arenson D J
J Foot Surg. 1985 Jul-Aug;24(4):258-65.
Plantar fibromatosis characteristically is found in the central and medial bands of plantar fascia, although it has been reported in other areas of the foot and, through continued growth and extension, has become adherent to tendons and overlying structures. Clinically, the lesion is somewhat uncommon, usually accompanied with minimal pain and benign in nature. However, it must be distinguished from other possibly malignant lesions that may also localize in the foot. The treatment of choice is surgical extirpation of the mass. Unfortunately, the outer limits of the lesion are difficult to define, and incomplete excision often results in return of the lesion postoperatively. Therefore, a complete fasciectomy of the involved fascia is the procedure of choice in order to reduce markedly the possibility of recurrence of the fibromatosis lesion.
足底纤维瘤病通常见于足底筋膜的中央和内侧束带，尽管也有在足部其他区域的报道，并且随着持续生长和蔓延，可与肌腱及上方结构粘连。临床上，该病变较为少见，通常仅有轻微疼痛，本质上为良性。然而，必须将其与其他也可能定位于足部的潜在恶性病变相鉴别。首选的治疗方法是手术切除肿物。不幸的是，病变的边界难以界定，不完全切除常导致术后病变复发。因此，为显著降低纤维瘤病病变复发的可能性，对受累筋膜进行完整的筋膜切除术是首选术式。
