CASE 314:CALCIFIED LIPOMA of CALCANEUS TENDON and SOLEUS MUSCLE - - Dr PHAN THANH HẢI- Dr LÊ THANH LIÊM- Dr Nguyễn Đức Duy Linh; Dr Nguyễn Ngọc Xuân Giang – BÌNH AN GENERAL HOSPITAL_KIÊN GIANG_VIỆT NAM.

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case-314-lipoma-calcification-of-calcaneus-tendon-and-soleus-muscle-

A 30 year-old woman with history of mass within the right heel region 2 year ago, no pain  and normal walking.

ULTRASOUND

Ultrasound found an echogenic mass in the calcaneus tendon and soleus muscle, hypovascular.

The surface of the mass was close to the Achilles tendon, well-defined with the capsule. Deep surface was very difficult to survey. Intra the mass there was an hyperechoic structure with strong shadowing, like bone. Ultrasound did not determine that there was continuity between the mass with calcaneus tendon or not.

Sonologist suggested a diagnosis of chondro-osteoma and organized synovial cysts of the ankle. Dx: Lipoma calcification.

CT SCAN

MSCT detected a lesion in the soleus muscle, density of fatty tissue, 10x4cm in size, around of achilles tendon, clear capsule, rounded border, with a very high-density nodule inside, looked like the bone. The lesion was not associated  with the calcaneus bone and the leg bone. Radiologist suggested a diagnosis of calcified lipoma.

OPERATION

Surgery was conducted in next day. Macroscopic image looks like the lipoma with calcified nodule inside.

Microscopic result is benign lipoma.

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