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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5868117PMC
http://dx.doi.org/10.4103/ijps.IJPS_116_17DOI Listing

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A rare case of dumb-bell lipoma of the sole.

J Plast Reconstr Aesthet Surg

December 2011

Department of Plastic Surgery, Columbiaasia Hospital, 67, 14th Cross, 1st Block, R.T. Nagar, Bangalore 560032, India.

A rare case of dumb-bell shaped lipoma of sole of foot in a middle aged lady which had crippled her life for almost a decade in-spite of multiple surgeries. She was initially misdiagnosed to have a corn on her sole and had undergone 3 surgeries spanning about 5 years. Due to the big size of the soft tissue swelling an MRI was done which showed a dumb-bell shaped swelling of foot.

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The authors present the case of a 60-year-old woman with a neck lipoma that developed dumb-bell extradural extension, causing radiculopathy. To the best of the authors' knowledge, this is the first report of a lipoma originating in the neck with dumb-bell extradural extension through the intervertebral foramen and into the spinal canal. The lipoma was first excised from the foramen via a posterior approach to allow decompression of the nerve roots.

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Background: Intradural subpial lipomas not associated with spinal dysraphism, account for less than 1% of spinal cord tumors. The simultaneous existence of multiple intradural subpial lipomas with dumb-bell extradural extension through the intervertebral foramen in the same patient without any evidence of spinal dysraphism has not been previously reported.

Case Description: A 38-year-old man presented with progressive spastic paraparesis, and weakness of right elbow extension and opposition of the medial three fingers.

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