Foot & Ankle Surgery: Techniques, Reports & Cases (Jan 2021)
Angioleiomyoma within the first intermetatarsal space of the foot
Abstract
Angioleiomyomas are uncommon benign tumours of smooth muscle that usually occur in the extremities. They are difficult to diagnose preoperatively as their clinical and radiological presentation is ambiguous and inconclusive. A degree of suspicion should be maintained in patients who present with slow growing soft tissue tumours of the extremities. A 59-year-old female was referred to our clinic reporting a 12-month history of an asymptomatic, progressively enlarging soft-tissue mass within the plantar aspect of the primary intermetatarsal space of the left forefoot. Her preoperative diagnostic ultrasound suspected a neuroma-bursa complex arising from the deep peroneal nerve. Excision and histopathology confirmed a diagnosis of angioleiomyoma.