case_images: PMC6727448_01
case_images: X-rays.
case_images: JOCR-9-84-g001.jpg
case_images: PMC6727448_01_JOCR-9-84-g001.jpg
case_images: F1
case_images: X-rays revealed no significant pathology(Fig. 1).
case_images: Magnetic resonance imaging.
case_images: JOCR-9-84-g002.jpg
case_images: PMC6727448_01_JOCR-9-84-g002.jpg
case_images: F2
case_images: Magnetic resonance imaging (MRI) was done to evaluate further(Fig. 2).
case_images: Skin incision.
case_images: JOCR-9-84-g003.jpg
case_images: PMC6727448_01_JOCR-9-84-g003.jpg
case_images: F3
case_images: A small surgical incision was planned and marked onto the skin with relevance to the clinical anatomy (Fig. 3) of the nodule.
case_images: The nodule.
case_images: JOCR-9-84-g004.jpg
case_images: PMC6727448_01_JOCR-9-84-g004.jpg
case_images: F4
case_images: 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).
case_images: After excision.
case_images: JOCR-9-84-g005.jpg
case_images: PMC6727448_01_JOCR-9-84-g005.jpg
case_images: F5
case_images: 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.
case_images: Post-operative healed wound.
case_images: JOCR-9-84-g006.jpg
case_images: PMC6727448_01_JOCR-9-84-g006.jpg
case_images: F6
case_images: The healed skin did not show any discharge, inflammation (Fig. 6).
case_images: Histopathology slide:Photomicrograph of HPE slide showing HNE stained at x40 showing ill-circumscribedlesion composed of spindle-shaped cells in a fibrous stroma background.
case_images: JOCR-9-84-g007.jpg
case_images: PMC6727448_01_JOCR-9-84-g007.jpg
case_images: F7
case_images: 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).
case_images: Histopathology slide:Photomicrograph of HPE slide showing HNE stained at x100 showing bland spindle-shaped cells with abundant collagen in a fibrous stroma background.
case_images: JOCR-9-84-g008.jpg
case_images: PMC6727448_01_JOCR-9-84-g008.jpg
case_images: F8
case_images: 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).