CASE 314: Lipoma Calcification of Calcaneus Tendon and Soleus Muscle, Dr LE THANH LIEM, Dr NGUYEN DUC DUY LINH
CALCIFIED LIPOMA of CALCANEUS TENDON and
- Dr Phan Thanh Hải; Võ Nguyễn Thành Nhân, M.D; Trần Châu Nhân, M.D; Lê Thanh Liêm, M.D - MEDIC
MEDICAL CENTER, HCMC, VIETNAM.
- Nguyễn Đức Duy Linh, M.D; Nguyễn Ngọc Xuân Giang, M.D – BÌNH AN GENERAL HOSPITAL_KIÊN
A 30 year-old woman with history of mass within the right heel region 2 year ago, no pain and
Ultrasound found an echogenic mass in the calcaneus tendon and soleus muscle, hypovascular.
The surface of the mass was close to the Achilles tendon, well-defined with the capsule. Deep
surface was very difficult to survey. Intra the mass there was an hyperechoic structure with
strong shadowing, like bone. Ultrasound did not determine that there was continuity between the
mass with calcaneus tendon or not.
Sonologist suggested a diagnosis of chondro-osteoma and organized synovial cysts of the ankle.
Dx: Lipoma calcification.
MSCT detected a lesion in the soleus muscle, density of fatty tissue, 10x4cm in size, around of
achilles tendon, clear capsule, rounded border, with a very high-density nodule inside, looked
like the bone. The lesion was not associated with the calcaneus bone and the leg bone.
Radiologist suggested a diagnosis of calcified lipoma.
Surgery was conducted in next day. Macroscopic image looks like the lipoma with calcified
Waiting results of microscopic?
Lipoma calcification of calcaneus tendon and soleus muscle is rarely happened in clinics.