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Multicompartment Intramuscular Hemangioma of the Foot

A Case Study

Jenny Yu Department of Podiatric Surgery, St. Mary's Medical Center, San Francisco, CA.

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David Tran California School of Podiatric Medicine at Samuel Merritt University, Oakland, CA.

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Heather M. Newhard Podiatric Surgery, Veterans Affairs Palo Alto, Palo Alto, CA.

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Soft-tissue tumors in the foot include a range of benign and malignant pathologies. In the clinical setting, the list of differential diagnoses can be exhausting, and the treatment plan is not always straightforward. In this article, we present a case of a 22-year-old female with a soft-tissue mass on her plantar foot that has been slowly growing since adolescence and is now causing increased pain with ambulation. Her pathology results demonstrated an intramuscular hemangioma. Intramuscular hemangiomas are rare benign tumors that tend to present in youth or early adulthood. Diagnosis is often delayed for months to years, depending on the patient's symptoms. Treatment varies from conservative to surgical, depending on size, location, and proximity to vital structures. Literature on intramuscular hemangiomas is very limited. Intramuscular hemangiomas provide a diagnostic and treatment quandary for the clinician and must be considered in the differential diagnoses when presented with a soft-tissue mass.

Corresponding author: Jenny Yu, DPM, MPH, St. Mary's Medical Center, Department of Podiatric Surgery, 450 Stanyan Street, San Francisco, CA 94117. (E-mail: jenny88keys@yahoo.com)