Unusual Presentation of Leiomyoma in the Hindfoot

Unusual Presentation of Leiomyoma in the Hindfoot

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A leiomyoma is a benign smooth muscle tumor that is most commonly found in the uterus.Limited studies have reported leiomyoma of the foot, rendering it an usual finding.We present a case of a 57-year-old female patient who presented to the clinic for a painless mass on Detergent Drawer Housing the posteromedial side of the right heel.It was diagnosed by the radiologist on MRI as a probable schwannoma.The patient underwent surgical excision of this mass which turned out to be a leiomyoma on pathology report.

Although foot leiomyoma is a rare finding, leiomyoma should be listed in the Diet and Weight Loss differential diagnosis when evaluating foot soft tissue masses.It is difficult to confirm the diagnosis clinically and radiographically, yet a histologic evaluation can affirm the diagnosis.Surgical excision is the treatment of choice offering immediate symptomatic relief.