TABLE 2 Clinical Summary and Follow-up of Patients with HFLL

From: Hemosiderotic Fibrohistiocytic Lipomatous Lesion: Ten Cases of a Previously Undescribed Fatty Lesion of the Foot/ankle

No.

Age

Sex

Race

Site

Size

Past Medical History

Family History

Duration

History of Trauma

Local Recurrence

Treatment

Patient Status

Length Follow-Up

1

51

M

W

R ankle

4.5 cm

Healthy

Does not know

7 years

“traumatized” also FNA

None

Local excision

NED

4 years

2

42

F

W

R check

Unknown

Breast Cancer, Reflux Dis. Chronic fatigue syndrome

Grandmother and aunt. Breast Ca

6 months to 1 year

“Cyst” on cheek since teenager

Current recurrence

Local excision no treatment for recur

AWD

15 years

3

42

F

W

L posterior distal calf

2.5 cm

HTN Asthma L plantar fascitis

Fa. MI Mo. Healthy Bro, polio

Few mo to one year

No specific injury; walks 2 miles per day and developed plantar fascitis on the same side prior to development of this lesion

None

Local excision

NED

10 years

4

47

F

W

R foot/ankle

8.0 cm

HTN, hypercholestrolemia, s/p MI, migraines, depression, ureteral obstruction, pyelonephritis, s/p cholecystectomy (tumor”) s/p TAH s/p bladder sling spastic colitis, diverticulosis

Mo. MI Fa. Stomach ulcers Bro. MI (deceased) Sis MI Other two sibs OK

6 years

A 2×4 wood plank fell on this patient's foot; the patient always wore tight shoes

Patient claims it was never fully excised at the time of surgery

Local excision

AWD

23 years

5

48

F

H

Dorsum L foot

8.0 cm

Hypercholesterolemia

Negative

>3 years

“stood on feet a lot” as cleaning lady

This is 2nd excision

Local excision

NED

13 years

6

49

F

B

Dorsum L foot

10.5 cm

NIDDM HTN COPD

Negative for tumors

5 years

Banged her foot prior to mass development

None

Local excision

NED

22 years

7

49

M

W

L middle finger/hand

3.0 cm

Healthy

Father died of smoke inhalation

6–9 months

Smacked hand on pipe during firefighter drill

None

Local excision

NED

1 year

8

57

F

?

Left Foot

11.0 cm

  

12–18 mo.

  

Local excision

  

9

58

F

W

Post L foot

17.0 cm

Lipoma present on back

 

4–5 years

  

Local excision

  

10

63

F

W

Foot/ankle

5.0 cm

Car-hip + arm fracture Stress fracture of the foot

Negative for tumors

Weeks to months

Stress fracture of foot, high arches and uncomfortable shoes

One recurrence

Local excision × 2

NED

21 years

  1. M, male; F, female; W, white; H, hispanic; ?, unknown; R, right; L, left; Post, posterior; dis, disease; HTN, hypertension; s/p, status post; MI, myocardial infarction; TAH, total abdominal hysterectomy; NIDDM, non–insulin-dependent diabetes melitis; COPD, chronic obstructive pulmonary disease; Ca, cancer; Fa, father; Mo, mother; bro, brother; sis, sister; sibs, siblings; NED, no evidence of disease; AWD, alive with disease.