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Infiltrating angiolipoma of the foot: magnetic resonance imaging features and review of the literature

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Abstract

Angiolipoma is a benign soft tissue tumor with two subtypes: non-infiltrating and infiltrating. Although histologically benign, infiltrating angiolipoma can invade surrounding structures. The foot is a very rare location for angiolipoma, with only four cases reported in the English literature, including one infiltrating type. Here, we report a very rare case of infiltrating angiolipoma of the foot with magnetic resonance imaging (MRI) and ultrasonography (US) findings. A 7-year-old boy presented with a slowly growing foot mass. MRI showed an unencapsulated mass involving the third web space extending to the foot dorsum and sole. The mass was isointense to subcutaneous fat and was mixed with internal T1 low-signal-intensity enhancing areas. On US, we observed a heterogeneously hypoechoic mass with internal vascularity. Imaging and clinical features of angiolipoma and the radiologic differential diagnoses of a fat-containing mass in the pediatric foot are reviewed here. When there is an ill-defined foot mass with a fat component and variable enhancing portions in a child, infiltrating angiolipoma should be included in the differential diagnosis along with other fat-containing tumors.

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References

  1. Arenaz Bua J, Luaces R, Lorenzo Franco F, Garcia-Rozado A, Crespo Escudero JL, Fonseca Capdevila E, et al. Angiolipoma in head and neck: report of two cases and review of the literature. Int J Oral Maxillofac Surg. 2010;39(6):610–5.

    Article  CAS  PubMed  Google Scholar 

  2. Tighe C, Lynn JA. Angiolipoma of the foot. A review of the literature and case report. J Am Podiatr Med Assoc. 1994;84(2):85–9.

    Article  CAS  PubMed  Google Scholar 

  3. Gravante G, Monaco A, Delogu D, Filingeri V, Esposito G. Foot angiolipomas: the third case of the literature. Eur Rev Med Pharmacol Sci. 2006;10(2):87–9.

    CAS  PubMed  Google Scholar 

  4. Grivas TB, Savvidou OD, Psarakis SA, Liapi G, Triantafyllopoulos G, Kovanis I, et al. Forefoot plantar multilobular noninfiltrating angiolipoma: a case report and review of the literature. World J Surg Oncol. 2008;6:11.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Wertheimer SJ, Balazsy JE. Infiltrating angiolipoma in the foot. J Foot Surg. 1992;31(1):17–24.

    CAS  PubMed  Google Scholar 

  6. Howard WR, Helwig EB. Angiolipoma. Arch Dermatol. 1960;82:924–31.

    Article  CAS  PubMed  Google Scholar 

  7. Kitagawa Y, Miyamoto M, Konno S, Makino A, Maruyama G, Takai S, et al. Subcutaneous angiolipoma: magnetic resonance imaging features with histological correlation. J Nippon Med Sch. 2014;81(5):313–9.

    Article  PubMed  Google Scholar 

  8. Gonzalez-Crussi F, Enneking WF, Arean VM. Infiltrating angiolipoma. J Bone Joint Surg Am. 1966;48(6):1111–24.

    Article  CAS  PubMed  Google Scholar 

  9. Sheybani EF, Eutsler EP, Navarro OM. Fat-containing soft-tissue masses in children. Pediatr Radiol. 2016;46(13):1760–73.

    Article  PubMed  Google Scholar 

  10. Alvi A, Garner C, Thomas W. Angiolipoma of the head and neck. J Otolaryngol. 1998;27(2):100–3.

    CAS  PubMed  Google Scholar 

  11. Han SR, Yee GT, Choi CY, Lee CH. Infiltrating spinal angiolipoma. J Korean Neurosurg Soc. 2012;52(2):161–3.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Gelabert-Gonzalez M, Garcia-Allut A. Spinal extradural angiolipoma: report of two cases and review of the literature. Eur Spine J. 2009;18(3):324–35.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Guzey FK, Bas NS, Ozkan N, Karabulut C, Bas SC, Turgut H. Lumbar extradural infiltrating angiolipoma: a case report and review of 17 previously reported cases with infiltrating spinal angiolipomas. Spine J. 2007;7(6):739–44.

    Article  PubMed  Google Scholar 

  14. Bang M, Kang BS, Hwang JC, Weon YC, Choi SH, Shin SH, et al. Ultrasonographic analysis of subcutaneous angiolipoma. Skelet Radiol. 2012;41(9):1055–9.

    Article  Google Scholar 

  15. Chen CW, Chang WC, Lee HS, Ko KH, Chang CC, Huang GS. MRI features of lipoblastoma: differentiating from other palpable lipomatous tumor in pediatric patients. Clin Imaging. 2010;34(6):453–7.

    Article  PubMed  Google Scholar 

  16. Stensby JD, Conces MR, Nacey NC. Benign fibrous hamartoma of infancy: a case of MR imaging paralleling histologic findings. Skelet Radiol. 2014;43(11):1639–43.

    Article  CAS  Google Scholar 

  17. Vogel D, Righi A, Kreshak J, Dei Tos AP, Merlino B, Brunocilla E, et al. Lipofibromatosis: magnetic resonance imaging features and pathological correlation in three cases. Skelet Radiol. 2014;43(5):633–9.

    Article  Google Scholar 

  18. Agamanolis DP, Dasu S, Krill CE Jr. Tumors of skeletal muscle. Hum Pathol. 1986;17(8):778–95.

    Article  CAS  PubMed  Google Scholar 

  19. Silva-Junior GO, Picciani BL, Costa RC, Barbosa SM, Silvares MG, Souza RB, et al. Oral soft-tissue angiolipoma: report of two cases of rare oral lipomatous lesion with emphasis on morphological and immunohistochemical features. J Oral Sci. 2013;55(1):85–8.

    Article  PubMed  Google Scholar 

  20. Atilgan AO, Terzi A, Agildere M, Caner H, Ozdemir BH. Intraosseous angiolipoma of the frontal bone with a unique location: a clinical and pathological case illustration and review of the literature. Indian J Pathol Microbiol. 2014;57(2):301–4.

    Article  PubMed  Google Scholar 

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Correspondence to Bo Mi Chung.

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Yeo, E.D., Chung, B.M., Kim, E.J. et al. Infiltrating angiolipoma of the foot: magnetic resonance imaging features and review of the literature. Skeletal Radiol 47, 859–864 (2018). https://doi.org/10.1007/s00256-017-2870-8

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  • DOI: https://doi.org/10.1007/s00256-017-2870-8

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