Aspergilloma clinically mimicking Achilles tendon xanthoma in a non-immunocompromised patient: A case report. Issue 8 (December 2020)

• Record Type: Journal Article
• Authors: Park, Young Hwan; Kim, Young Ha; Kim, Jae Young; Choi, Gi Won; Kim, Hak Jun
• Is Part Of: Foot and ankle surgery. Volume 26:Issue 8(2020)
• Page Start: 943
• Page End: 945
• Publication Date: 2020-12
• Subjects: Ankle joint -- Neoplasm -- Aspergillosis -- Xanthomatosis; Foot -- Surgery -- Periodicals; Ankle -- Surgery -- Periodicals; Ankle -- surgery -- Periodicals; Foot -- surgery -- Periodicals; Ankle -- Surgery; Foot -- Surgery; Periodicals; Electronic journals; 617.58
• DOI: 10.1016/j.fas.2020.01.008
• Languages: English
• ISSNs: 1268-7731

Abstract

Highlights: A case of aspergilloma developed around the Achilles tendon and mimicked an Achilles tendon xanthoma. The clinical features were similar to Achilles tendon xanthoma, but histological examination revealed the mass to contain hyphae of Aspergillus. A tumor around the Achilles tendon can be something other than a xanthoma, even if the clinical features are typical. Abstract: A 48-year-old woman visited our outpatient clinic complaining of discomfort while wearing shoes due to a large mass around her Achilles tendon. The mass was firm, non-tender, non-reducible, and moved with the Achilles tendon, similar to Achilles tendon xanthoma. However, magnetic resonance imaging revealed multiple heterogeneous, nodular lesions with low T1 and T2 signal intensity, and histological examination of the biopsy specimen revealed the mass to contain hyphae of Aspergillus, indicating aspergilloma. The purpose of this case report is to emphasize that a tumor around the Achilles tendon can be something other than xanthoma even when the clinical features are typical of xanthoma. Level of clinical evidence: 4.