Calcaneal intraosseous lipoma

Case contributed by Fakhry Mahmoud Ebouda


Heel pain since a long time.

Patient Data

Age: 40 years
Gender: Male

A well defined lucent lesion is seen within the right calcaneal bone. No overlying periosetal reaction or matrix calcification.

Case Discussion

A well defined lucent lesion is seen within the calcaneal bone. Differential diagnosis includes: simple bone cyst, aneurysmal bone cyst, intraosseous lipoma and enchondroma. The last two lesions may have calcific foci within. This case proved after surgical excision to be intraosseous lipoma. The central dot calcification sometimes detected within an intraosseous lipoma (called cockade sign) is not seen here.

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