# Osteochondrolipoma of the foot treated by surgical excision: a case report and literature review

## TL;DR

A rare case of osteochondrolipoma in the foot was successfully treated with surgery, marking the first documented instance of this condition in that location.

## Contribution

This is the first reported case of osteochondrolipoma occurring in the foot, expanding the known clinical presentation of this rare benign lesion.

## Key findings

- Osteochondrolipoma was identified in the foot of a 51-year-old male patient with progressive pain and swelling.
- Surgical excision provided both symptomatic relief and diagnostic confirmation via histopathology.
- The case highlights the importance of considering this rare lesion in differential diagnoses of foot masses.

## Abstract

Osteochondromas, classified as a new benign subtype of lipomas and characterised by chondroid and osseous differentiation, are rare lesions that have been infrequently reported in previous literature. The maxillofacial region was reported as the most frequent localization, with infrequent occurrence in the lower limb. This paper represents the first documented case report of osteochondrolipoma in the foot.

A 51-year-old male patient presented with a chief complaint of right foot pain at the plantar aspect, accompanied by the observation of swelling between the first and the second metatarsal shafts. His complaint of pain and swelling started 10 and 4 years prior, respectively. Since their onset, both symptoms have progressed in nature. Imaging revealved a large mass exhibiting a nonhomogenous composition of fibrous tissue and bony structures. Surgical intervention through total excision was indicated.

Osteochodrolipoma is a benign lesion that can affect the foot leading to decreased functionality of the foot due to the pain and swelling. Surgical excision is the recommended approach for this lesion, providing both symptomatic relief and confirmation of the diagnosis through histopathological examination.