Calcaneal lipoma

Case contributed by Dr Piyush P Siwach

Presentation

Forefoot pain. No hindfoot symptoms.

Patient Data

Age: 60 years
Gender: Male
X-ray

A well circumscribed lytic lesion with narrow zone of transition, thin rim of sclerosis, defined calcification in matrix and low radiodensity.

Case Discussion

The top two differential diagnosis of anterior calcaneal well defined lytic lesions are:

  • simple bone cyst
  • lipoma

The presence of a benign pattern of calcification such as spiculated or rim calcification within such lesions in the anterior calcaneum is almost pathognomonic of a lipoma. 

Diagnosis can be confirmed by MRI, or in large lesions like this one by CT. 

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Case information

rID: 53520
Case created: 22nd May 2017
Last edited: 30th May 2017
Inclusion in quiz mode: Included

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