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Epithelioid sarcoma of the plantar fascia mimicking Morbus Ledderhose - A severe pitfall for clinical and histopathological misinterpretation

Andreas Toepfer, Norbert Harrasser, Florian Dreyer, Carolin Mogler, Markus Walther & Rüdiger Von Eisenhart-Rothe

abstract Plantar fibromatosis, also known as Morbus Ledderhose, is a well known and frequently encountered disorder of the planta pedis. When conservative treatment fails, surgical therapy with complete resection is the therapeutical procedure of choice. Soft tissue sarcoma is a heterogeneous and rare malignant disease of the musculoskeletal system with over 50 histopathological subtypes which can potentially arise in any localization but is most commonly found at the extremities. Here, we report the case of an epithelioid sarcoma of the sole of the foot which was initially and repeatedly clinically and histopathologically misinterpreted as plantar fibromatosis, receiving insufficient resection and subsequently ending in amputation of the lower leg.
   
citation Toepfer A, Harrasser N, Dreyer F, Mogler C, Walther M, von Eisenhart-Rothe R. Epithelioid sarcoma of the plantar fascia mimicking Morbus Ledderhose - A severe pitfall for clinical and histopathological misinterpretation. Foot Ankle Surg 2017; 23:e25-e30.
   
type journal paper/review (English)
date of publishing 05-04-2017
journal title Foot Ankle Surg (23/4)
ISSN electronic 1460-9584
pages e25-e30
PubMed 29202999
DOI 10.1016/j.fas.2017.03.013