PMC6727448_01
X-rays.
JOCR-9-84-g001.jpg
PMC6727448_01_JOCR-9-84-g001.jpg
F1
X-rays revealed no significant pathology(Fig. 1).
Magnetic resonance imaging.
JOCR-9-84-g002.jpg
PMC6727448_01_JOCR-9-84-g002.jpg
F2
Magnetic resonance imaging (MRI) was done to evaluate further(Fig. 2).
Skin incision.
JOCR-9-84-g003.jpg
PMC6727448_01_JOCR-9-84-g003.jpg
F3
A small surgical incision was planned and marked onto the skin with relevance to the clinical anatomy (Fig. 3) of the nodule.
The nodule.
JOCR-9-84-g004.jpg
PMC6727448_01_JOCR-9-84-g004.jpg
F4
The skin and soft tissue dissection were made just adjacent to the weight-bearing surface of the foot and the nodule as identified (Fig. 4).
After excision.
JOCR-9-84-g005.jpg
PMC6727448_01_JOCR-9-84-g005.jpg
F5
After careful dissection of the fascia, the nodule was exposed and excision of the nodule was done in toto (Fig. 5)andtissue sample is sent to the pathologist for evaluation.
Post-operative healed wound.
JOCR-9-84-g006.jpg
PMC6727448_01_JOCR-9-84-g006.jpg
F6
The healed skin did not show any discharge, inflammation (Fig. 6).
Histopathology slide:Photomicrograph of HPE slide showing HNE stained at x40 showing ill-circumscribedlesion composed of spindle-shaped cells in a fibrous stroma background.
JOCR-9-84-g007.jpg
PMC6727448_01_JOCR-9-84-g007.jpg
F7
The histopathology of the excised nodule was discussed with the pathologist and revealed bland spindle-shaped cells with abundant collagen in a fibrous stroma background (Figs. 7 and 8).
Histopathology slide:Photomicrograph of HPE slide showing HNE stained at x100 showing bland spindle-shaped cells with abundant collagen in a fibrous stroma background.
JOCR-9-84-g008.jpg
PMC6727448_01_JOCR-9-84-g008.jpg
F8
The histopathology of the excised nodule was discussed with the pathologist and revealed bland spindle-shaped cells with abundant collagen in a fibrous stroma background (Figs. 7 and 8).