• 1

    Chiang CL, Tsai MY, Chen C: MRI Diagnosis of fibrolipomatous hamartoma of the median nerve and associated macrodystrophia lipomatosa. J Chin Med Assoc 73: 499, 2010.

    • Crossref
    • PubMed
    • Web of Science
    • Search Google Scholar
    • Export Citation
  • 2

    Ogose A, Hotta T, Higuchi T, et al: Fibrolipomatous hamartoma in the foot: magnetic resonance imaging and surgical treatment. J Bone Joint Surg 84: 432, 2002.

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 3

    Julien TP, Blazar P: Lipofibromatous hamartoma: a review article. Orthop J Harvard Medical School. 11: 87, 2009. Available at: http://www.orthojournalhms.org/volume11/manuscripts/PDF/V11_om_8.pdf. Accessed August 22, 2014.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4

    Ardakani AS, Nematolahi P, Mohammadizadeh F, et al: A case of fibrolipomatous hamartoma of nerve arising from superficial peroneal nerve. J Res Med Sci 12: 271, 2007.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5

    Toms AP, Anastakis D, Bleakney RR, et al: Lipofibromatous hamartoma of the upper extremity: a review of the radiologic findings for 15 Patients. AJR Am J Roentgenol 186: 805, 2006.

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 6

    Cui Q, Chhabra AB, Leo BM, et al: Lipofibromatous hamartoma of a digital nerve. Am J Orthop 37: E146, 2008.

  • 7

    Nilsson J, Sandberg K, Dahlin LB, et al: Hamartoma in the median nerve in the arm - an unusual location but with MR imaging characteristics: a case report. J Brachial Plex Peripher Nerve Inj 5: 1, 2010.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 8

    Jung S, Yim Y, Kwon H: Symmetric lipofibromatous hamartoma affecting digital nerves. Yonsei Med J 46: 169, 2005.

  • 9

    Razzaghi A, Anastakis DJ: Lipofibromatous hamartoma: review of early diagnosis and treatment. Can J Surg 48: 394, 2005.

Fibrolipomatous Hamartoma of Nerve in the Great Toe

Praya Mam Private Practice, American Foot and Leg Specialist, PC, Forest Park, GA.

Search for other papers by Praya Mam in
Current site
Google Scholar
PubMed
Close
 DPM
,
Ebony B. Lewis Private Practice, American Foot and Leg Specialist, PC, Forest Park, GA.

Search for other papers by Ebony B. Lewis in
Current site
Google Scholar
PubMed
Close
 DPM
,
Tex Song Atlanta Veteran's Affairs Medical Center, Decatur, GA.

Search for other papers by Tex Song in
Current site
Google Scholar
PubMed
Close
 DPM
, and
Bradley W. Bakotic Bako Dermapathology, Alpharetta, GA.

Search for other papers by Bradley W. Bakotic in
Current site
Google Scholar
PubMed
Close
 DPM, DO

Fibrolipomatous hamartoma is a rare benign tumor characterized by infiltration of fibrous and adipose tissue found within the epineurium and perineurium of the distal peripheral nerves. Most commonly seen in the upper extremities and median nerve, it is rarely involved in the foot and ankle. We report a rare case of fibrolipomatous hamartoma found in the great toe of a 25-year-old patient. Magnetic resonance imaging demonstrated a heterogeneous mass, confirming the mass was solid rather than a fluid collection. Surgical excision revealed a fatty, fibrous, well-demarcated, encapsulated, solid soft-tissue mass. A surgical excision was performed and a pathologic diagnosis of fibrolipomatous hamartoma was made.

Corresponding author: Praya Mam, DPM, American Foot and Leg Specialist, PC, 425 Forest Parkway, Suite 101, Forest Park, GA 30297. (E-mail: praya@comcast.net)
Save