A bleeding tumor of the foot
Mohamed El Amraoui, Abdelhafid Achbouk
The Pan African Medical Journal. 2018;31:11. doi:10.11604/pamj.2018.31.11.16168

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A bleeding tumor of the foot

Cite this: The Pan African Medical Journal. 2018;31:11. doi:10.11604/pamj.2018.31.11.16168

Received: 16/06/2018 - Accepted: 26/07/2018 - Published: 04/09/2018

Key words: Botriomycoma, foot, bleeding tumor

© Mohamed El Amraoui et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.panafrican-med-journal.com/content/article/31/11/full

Corresponding author: Mohamed El Amraoui, Department of Dermatology, Mohammed V Military Training Hospital, Rabat, Morocco (med.elamraoui.dto@gmail.com)


A bleeding tumor of the foot

Mohamed El Amraoui1,&, Abdelhafid Achbouk2

 

1Department of Dermatology, Mohammed V Military Training Hospital, Rabat, Morocco, 2Department of Plastic Surgery, Mohammed V Military Training Hospital, Rabat, Morocco

 

 

&Corresponding author
Mohamed El Amraoui, Department of Dermatology, Mohammed V Military Training Hospital, Rabat, Morocco

 

 

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Botriomycoma or pyogenic granuloma is a benign vascular tumor very common in daily practice, which often sits at the extremities and is favored by trauma. The evolution is often favorable enamelled by the frequency of recidivism; however some atypical or massively bleeding forms pose diagnostic and therapeutic difficulties. We present a case illustrating this problematic. Botriomycoma or pyogenic granuloma is a non-rare benign vascular tumor, favored by trauma, mainly at the extremities and characterized by post-traumatic bleeding recurrence. Spectacular and massively bleeding forms are rarely reported. We present a case. A 60-year-old woman, with a history of a recessive infra-centimeter nodule of the second left toe. Has consulted for an increase of this nodule up to three centimeters in diameter. She was lost to follow-up for four months, and then she reconsulted for the same tumefaction which became ulcerated and massively bleeding and having increased in volume to reach five centimeters of large diameter. Ultrasound showed a superficial and much vascularized tumor. In view of the very haemorrhagic character and the repercussions on the general condition of the patient, a total resection of the tumor was done urgently and the histology was in favor of a botriomycoma without signs of malignancy. The evolution was favorable. Most botriomyomas are small and at risk of recurrence, but rapidly progressive and massively bleeding tumor forms, as noted case, requires rapid management and collaboration between dermatologist and plastic surgeon.

 

 

Figure 1: bleeding tumor of the left second toe having rapidly increased in volume

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


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Keywords

Botriomycoma
Foot
Bleeding tumor

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ISSN: 1937-8688. © 2018 - Pan African Medical Journal. All rights reserved