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Fibrolipomatous Hamartoma in the Foot: Magnetic Resonance Imaging and Surgical Treatment by Akira Ogose, Tetsuo Hotta, Takeshi Higuchi, Naoko Katsumi,

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Presentation on theme: "Fibrolipomatous Hamartoma in the Foot: Magnetic Resonance Imaging and Surgical Treatment by Akira Ogose, Tetsuo Hotta, Takeshi Higuchi, Naoko Katsumi,"— Presentation transcript:

1 Fibrolipomatous Hamartoma in the Foot: Magnetic Resonance Imaging and Surgical Treatment by Akira Ogose, Tetsuo Hotta, Takeshi Higuchi, Naoko Katsumi, Hisao Koda, and Hajime Umezu J Bone Joint Surg Am Volume 84(3):432-436 March 1, 2002 ©2002 by The Journal of Bone and Joint Surgery, Inc.

2 Figs. 1-A through 1-D Case 1. Akira Ogose et al. J Bone Joint Surg Am 2002;84:432-436 ©2002 by The Journal of Bone and Joint Surgery, Inc.

3 Operative photograph showing the exposed fibrofatty tumor intermixed with the swollen medial plantar nerve (arrows) and a tumor in the great toe (arrowheads). Akira Ogose et al. J Bone Joint Surg Am 2002;84:432-436 ©2002 by The Journal of Bone and Joint Surgery, Inc.

4 Photograph showing the resected tumor (the left side is distal). Akira Ogose et al. J Bone Joint Surg Am 2002;84:432-436 ©2002 by The Journal of Bone and Joint Surgery, Inc.

5 Histological section showing nerve bundles (arrows) and perivascular fibrosis (arrowheads) with surrounding and infiltrating fibrofatty tissue (stars) (magnification, 90). Akira Ogose et al. J Bone Joint Surg Am 2002;84:432-436 ©2002 by The Journal of Bone and Joint Surgery, Inc.

6 Figs. 2-A through 2-E Case 2. Akira Ogose et al. J Bone Joint Surg Am 2002;84:432-436 ©2002 by The Journal of Bone and Joint Surgery, Inc.

7 Axial T2 ‐ weighted magnetic resonance image (repetition time, 3500 msec; echo time, 96 msec), made at the distal level of the leg, showing a fatty tumor with central signal voids (arrow). Akira Ogose et al. J Bone Joint Surg Am 2002;84:432-436 ©2002 by The Journal of Bone and Joint Surgery, Inc.

8 Operative photograph showing the exposed fibrofatty tumor intermixed with the swollen superficial peroneal nerve (arrow). Akira Ogose et al. J Bone Joint Surg Am 2002;84:432-436 ©2002 by The Journal of Bone and Joint Surgery, Inc.

9 Low-power micrograph of a histological section, made at almost the same level as Fig. 2-B, showing that the signal voids on magnetic resonance images correspond to the nerve fascicles and the perineural fibrosis (magnification, 5). Akira Ogose et al. J Bone Joint Surg Am 2002;84:432-436 ©2002 by The Journal of Bone and Joint Surgery, Inc.

10 Histological section showing nerve bundles with perineural fibrosis surrounding and infiltrating fibrofatty tissue (magnification, 90). Akira Ogose et al. J Bone Joint Surg Am 2002;84:432-436 ©2002 by The Journal of Bone and Joint Surgery, Inc.


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