title: Operative resection is a viable treatment of macrodactyly of the foot caused by lipofibromatous hamartoma: a case study with 5 year follow-up.
abstract: Lipofibromatous hamartoma (LFH) is a benign tumour of nervous tissue that most commonly involves the median nerve. Only a few cases of LFH in the foot have been described. In these cases growth of bone and other tissue causing macrodactyly, a condition known as macrodystrophia lipomatosa, is often observed. Conservative treatment of LFH is usually preferred because of the potential loss of neurological function after surgery. Here we present a rare case of a 44-year old patient with LFH causing macrodactyly of the second ray of the left foot whose symptoms did not improve after conservative treatment. We describe the diagnostic process and the operative resection that was performed and show the follow-up results 5 years after surgery. All the symptoms experienced by our patient had disappeared. This case demonstrates that operative treatment of LFH in the foot is a viable option in patients with persistent symptoms following conservative treatment.
  
  
  METHODS
  Level V.
authors.affiliation: CORAL - Centre for Orthopaedic Research Alkmaar, Department of Orthopaedic Surgery, Medical Centre Alkmaar, Alkmaar, The Netherlands. Electronic address: b.l.fransen@mca.nl.
authors.forename: Bas L
authors.initials: BL
authors.lastname: Fransen
authors.affiliation: CORAL - Centre for Orthopaedic Research Alkmaar, Department of Orthopaedic Surgery, Medical Centre Alkmaar, Alkmaar, The Netherlands.
authors.forename: Maud G J
authors.initials: MG
authors.lastname: Broeders
authors.affiliation: Department of Plastic Surgery, Medical Centre Alkmaar, Alkmaar, The Netherlands.
authors.forename: Frederik J T
authors.initials: FJ
authors.lastname: van Oosterom
authors.affiliation: Department of Pathology, Westfries Gasthuis, Hoorn, The Netherlands.
authors.forename: Nathalie D B
authors.initials: ND
authors.lastname: Gilhuijs
authors.affiliation: CORAL - Centre for Orthopaedic Research Alkmaar, Department of Orthopaedic Surgery, Medical Centre Alkmaar, Alkmaar, The Netherlands.
authors.forename: Bart J
authors.initials: BJ
authors.lastname: Burger
mesh_terms: D000328:Adult; D000671:Amputation, Surgical; D005500:Follow-Up Studies; D005532:Foot Deformities, Congenital / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D006222:Hamartoma / Q000473:pathology* / Q000601:surgery*; D006801:Humans; D008297:Male
keywords: Forefoot disorders; Lipofibromatous hamartoma; Macrodactyly; Macrodystrophia lipomatosa; Paediatric; Tumours