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Journal of Indian Association of Pediatric Surgeons
     Journal of Indian Association of Pediatric Surgeons
Official journal of the Indian Association of Pediatric Surgeons         
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LETTER TO EDITOR
Year : 2006  |  Volume : 11  |  Issue : 1  |  Page : 55
 

Lipoma of the sole: Usual tumor but unusual location


Department of Pediatric Surgery, Lokmanya Tilak Medical College and Lokmanya Tilak Municipal General Hospital, Sion, Mumbai - 400022, India

Correspondence Address:
D K Sarda
Department of Pediatric Surgery, Lokmanya Tilak Medical College and Lokmanya Tilak Municipal General Hospital, Sion, Mumbai - 400022
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9261.24644

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How to cite this article:
Sarda D K, Kothari P, Adivarekar P, Raghunath D, Ravikumar K, Kulkarni B. Lipoma of the sole: Usual tumor but unusual location. J Indian Assoc Pediatr Surg 2006;11:55

How to cite this URL:
Sarda D K, Kothari P, Adivarekar P, Raghunath D, Ravikumar K, Kulkarni B. Lipoma of the sole: Usual tumor but unusual location. J Indian Assoc Pediatr Surg [serial online] 2006 [cited 2018 Jan 23];11:55. Available from: http://www.jiaps.com/text.asp?2006/11/1/55/24644


Sir,

Although lipomas are the most common benign soft-tissue tumors found in the body, they are not commonly found in the sole.

A six-year-old girl approached with complaint of gradually progressive swelling on her left sole since one year. The patient had pain while walking. On examination, there was a single swelling of size 4x3 cm on plantar aspect of sole. It was mainly located over the balls of lateral three digits. Toe movements as well as gait of the patient were normal. Laboratory parameters were normal. Three centimeter incision was taken over the swelling. A single 3x3 cm well defined capsulated lipoma was excised [Figure - 1]. It was not attached to deeper planes. Histopathology revealed predominantly mature adipocytes, admixed with collagenic streaks. Patient was discharged on 10th postoperative day. There was no recurrence in one-year follow up.

Lipoma is defined as benign tumor usually composed of mature fat cells. They are most commonly found in areas of abundant adipose tissue, which may explain why they are rarely found in the sole. Reports of lipoma in the sole exist, but the occurrence of the tumor in this location is very rare.[1]

Plantar incisions are ideal in specific cases as long as the surgeon adheres to certain principles. Optimum exposure is the key to total eradication of soft tissue lesions and to proper maintenance of wound healing.[2]



 
   References Top

1.Pontious J, Zielaskowski LA, King G Extensive lipoma of the sole. J Am Podiatr Med Assoc 2003;93:402-5.  Back to cited text no. 1    
2.Feldman M, Healey K, Nach W, Kaplan N, Taylor H. Plantar approach for excision of bilateral soft tissue masses in a child. J Sole Surg. 1989;28:60-3.  Back to cited text no. 2  [PUBMED]  


    Figures

[Figure - 1]


This article has been cited by
1 A rare case of dumb-bell lipoma of the sole
Chetan Satish
Journal of Plastic Reconstructive & Aesthetic Surgery. 2011; 64(12): e329
[VIEW] | [DOI]
2 Lipoma of the sole of the foot
Raveenthiran, V.
J Indian Assoc Pediatr Surg. 2006; 11(2): 110-111
[Pubmed]



 

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  2005 - Journal of Indian Association of Pediatric Surgeons | Published by Wolters Kluwer - Medknow 

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