Multiple intraosseous capillary hemangiomas of the foot: An uncommon entity

Abstract

Hemangiomas are benign vascular lesions made up of blood vessels, commonly seen in the skin, muscle, bone, and viscera. Intraosseous hemangiomas are rare, and the foot is a very uncommon location of these tumors. These can be symptomatic or asymptomatic. A 26 year old female patient reported to us with insidious onset of pain in the right foot for 10 years followed by swelling on the outer aspect of the forefoot. Radiographs and magnetic resonance imaging evaluation showed a predominantly lytic lesion in the head of the fifth metatarsal, with similar lesions at various other places in the foot. She was treated with complete excision of the tumor from the head of the fifth metatarsal following which she has resolution of symptoms. Biopsy of the specimen revealed capillary hemangioma. This case report affirms that, though uncommon, it should be kept as one of the differential diagnosis in the evaluation of lytic lesion of the foot.