eMedicine Specialties > Dermatology > Benign Neoplasms

Plantar Fibromatosis: Follow-up

Author: Firas G Hougeir, MD, Staff Physician, Department of Dermatology, Mayo Clinic Scottsdale
Coauthor(s): Jose M Mascaro, MD, MS, Chairman, Professor, Department of Dermatology, Hospital Clinic, University of Barcelona, Spain
Contributor Information and Disclosures

Updated: Jun 30, 2009

Follow-up

Prognosis

  • Ledderhose disease has a favorable prognosis, although slow progression is not uncommon. Patients who undergo plantar fasciectomy have been shown to have a lower recurrence rate.
  • Superficial plantar fibromatosis is usually benign and may regress spontaneously.
    • Rare cases that are relatively progressive and recurrent occur.
    • The hamartomatous form is also benign, and problems are related to difficulties in standing or walking or to associated Proteus syndrome.
  • Juvenile aponeurotic fibroma is benign, but recurrences are common.
  • Aggressive infantile fibromatosis must be considered a locally aggressive fibrosarcoma.

Miscellaneous

Medicolegal Pitfalls

  • Because superficial plantar fibromatosis is often self-regressive, a failure to evaluate the need for surgery may occur.
  • Surgical scars can cause disability if they are in a plantar location.
  • Failure to diagnose a sarcoma based on MRI findings similar to Ledderhose disease may lead to physician liability.
 


More on Plantar Fibromatosis

Overview: Plantar Fibromatosis
Differential Diagnoses & Workup: Plantar Fibromatosis
Treatment & Medication: Plantar Fibromatosis
Follow-up: Plantar Fibromatosis
Multimedia: Plantar Fibromatosis
References
Further Reading
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References

  1. McPoil TG, Martin RL, Cornwall MW, Wukich DK, Irrgang JJ, Godges JJ. Heel pain--plantar fasciitis: clinical practice guildelines linked to the international classification of function, disability, and health from the orthopaedic section of the American Physical Therapy Association. J Orthop Sports Phys Ther. Apr 2008;38(4):A1-A18. [Medline].

  2. Wiedemann HR, Burgio GR, Aldenhoff P, Kunze J, Kaufmann HJ, Schirg E. The proteus syndrome. Partial gigantism of the hands and/or feet, nevi, hemihypertrophy, subcutaneous tumors, macrocephaly or other skull anomalies and possible accelerated growth and visceral affections. Eur J Pediatr. Mar 1983;140(1):5-12. [Medline].

  3. Montgomery E, Lee JH, Abraham SC, Wu TT. Superficial fibromatoses are genetically distinct from deep fibromatoses. Mod Pathol. Jul 2001;14(7):695-701. [Medline].

  4. Morrison WB, Schweitzer ME, Wapner KL, Lackman RD. Plantar fibromatosis: a benign aggressive neoplasm with a characteristic appearance on MR images. Radiology. Dec 1994;193(3):841-5. [Medline].

  5. Bancroft LW, Peterson JJ, Kransdorf MJ. Imaging of soft tissue lesions of the foot and ankle. Radiol Clin North Am. Nov 2008;46(6):1093-103, vii. [Medline].

  6. Scheler J, Rehani B, Percy T, et al. Increased F-18 FDG uptake on positron emission tomography/computed tomography imaging caused by plantar fibromatosis. Clin Nucl Med. Apr 2008;33(4):280-1. [Medline].

  7. Alman BA, Naber SP, Terek RM, Jiranek WA, Goldberg MJ, Wolfe HJ. Platelet-derived growth factor in fibrous musculoskeletal disorders: a study of pathologic tissue sections and in vitro primary cell cultures. J Orthop Res. Jan 1995;13(1):67-77. [Medline].

  8. DeBrule MB, Mott RC, Funk C, Nixon BP, Armstrong DG. Osseous metaplasia in plantar fibromatosis: a case report. J Foot Ankle Surg. Nov-Dec 2004;43(6):430-2. [Medline].

  9. Evans HL. Multinucleated giant cells in plantar fibromatosis. Am J Surg Pathol. Feb 2002;26(2):244-8. [Medline].

  10. van der Veer WM, Hamburg SM, de Gast A, Niessen FB. Recurrence of plantar fibromatosis after plantar fasciectomy: single-center long-term results. Plast Reconstr Surg. Aug 2008;122(2):486-91. [Medline].

  11. Wapner KL, Ververeli PA, Moore JH Jr, Hecht PJ, Becker CE, Lackman RD. Plantar fibromatosis: a review of primary and recurrent surgical treatment. Foot Ankle Int. Sep 1995;16(9):548-51. [Medline].

  12. [Guideline] American College of Radiology. ACR Appropriateness Criteria chronic foot pain. American College of Radiology. 2005.

  13. [Guideline] American College of Occupational and Environmental Medicine. Ankle and foot complaints. American College of Occupational and Environmental Medicine. 2004.

  14. Allen PW. The Fibromatoses: A clinicopathological classification based in 140 cases. Am J Surg Path. 1977;1:305-21.

  15. Allen RA, Woolner LB, Ghormley RK. Soft-tissue tumors of the sole; with special reference to plantar fibromatosis. J Bone Joint Surg Am. Jan 1955;37-A(1):14-26. [Medline].

  16. Durr HR, Krodel A, Trouillier H, Lienemann A, Refior HJ. Fibromatosis of the plantar fascia: diagnosis and indications for surgical treatment. Foot Ankle Int. Jan 1999;20(1):13-7. [Medline].

  17. Enzinger FM, Weiss SW. Fibrous proliferations of infancy and childhood. In: Soft Tissue Tumors. St Louis: Mosby; 1983.

  18. Fetsch JF, Laskin WB, Miettinen M. Palmar-plantar fibromatosis in children and preadolescents: a clinicopathologic study of 56 cases with newly recognized demographics and extended follow-up information. Am J Surg Pathol. Aug 2005;29(8):1095-105. [Medline].

  19. Godette GA, O'Sullivan M, Menelaus MB. Plantar fibromatosis of the heel in children: a report of 14 cases. J Pediatr Orthop. Jan-Feb 1997;17(1):16-7. [Medline].

  20. Mascaro JM, Torres V. Juvenile fibromatosis. Proceedings XV World Congress of Dermatology in Mexico. 1976;63-6.

  21. Pickren JW, Smith AG, Stevenson TW. Fibromatosis of the plantar fascia. Cancer. 1951;4:846.

  22. Sammarco GJ, Mangone PG. Classification and treatment of plantar fibromatosis. Foot Ankle Int. Jul 2000;21(7):563-9. [Medline].

  23. Shapiro L. Infantile digital fibromatosis and aponeurotic fibroma. Case reports of tow rare pseudosarcomas and review of the literature. Arch Dermatol. Jan 1969;99(1):37-42. [Medline].

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Further Reading

Clinical guidelines
ACR Appropriateness Criteria® chronic foot pain. 12
American College of Radiology - Medical Specialty Society.  1998 (revised 2005).  7 pages.  NGC:004618

Ankle and foot complaints. 13
American College of Occupational and Environmental Medicine - Medical Specialty Society.  1997 (revised 2004).  27 pages.  NGC:004757

Clinical trials

Health-Related Quality of Life in Patients With Dupuytren's Disease

Effects of Steroid Injection With Percutaneous Needle Aponeurotomy in Dupuytren's Contracture

Study of Proteus Syndrome and Related Congenital Disorders

Related eMedicine topics
Dupuytren Contracture (Dermatology)

Dupuytren Contracture (Orthopedic Surgery)

Dupuytren Contracture   (Physical Medicine and Rehabilitation)

Plantar Heel Pain

Skin Malignancies, Merkel Cell Carcinoma and Rare Appendageal Tumors

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Keywords

plantar fibromatosis, PF, juvenile fibromatosis, JF, Dupuytren palmar contracture, DC, Ledderhose disease, LD, juvenile aponeurotic fibroma, JAF, infantile fibromatosis, aggressive infantile fibromatosis, AIF, superficial fibromatosis, SF, cerebriform mesodermic hamartomas, Proteus syndrome, PS, fibromas, desmoid tumors, Gardner syndrome, GAF, Gardner syndrome–associated fibromatosis, deep fibromatosis, DF, hamartomatous fibromatosis

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Contributor Information and Disclosures

Author

Firas G Hougeir, MD, Staff Physician, Department of Dermatology, Mayo Clinic Scottsdale
Firas G Hougeir, MD is a member of the following medical societies: American Academy of Dermatology
Disclosure: Nothing to disclose.

Coauthor(s)

Jose M Mascaro, MD, MS, Chairman, Professor, Department of Dermatology, Hospital Clinic, University of Barcelona, Spain
Jose M Mascaro, MD, MS is a member of the following medical societies: American Dermatological Association, American Society of Dermatopathology, and International Academy of Pathology
Disclosure: Nothing to disclose.

Medical Editor

Neil Shear, MD, Professor and Chief of Dermatology, Professor of Medicine, Pediatrics and Pharmacology, University of Toronto Faculty of Medicine; Head of Dermatology, Sunnybrook Women's College Health Sciences Center and Women's College Hospital, Canada
Neil Shear, MD is a member of the following medical societies: American Academy of Dermatology, American Society for Clinical Pharmacology and Therapeutics, Canadian Dermatology Association, Canadian Medical Association, Ontario Medical Association, and Royal College of Physicians and Surgeons of Canada
Disclosure: Nothing to disclose.

Pharmacy Editor

Michael J Wells, MD, Associate Professor, Department of Dermatology, Texas Tech University Health Sciences Center
Michael J Wells, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Dermatology, American Medical Association, and Texas Medical Association
Disclosure: Nothing to disclose.

Managing Editor

Jeffrey P Callen, MD, Professor of Medicine, Chief, Division of Dermatology, University of Louisville School of Medicine
Jeffrey P Callen, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Dermatology, American College of Physicians, and American College of Rheumatology
Disclosure: Amgen Honoraria Consulting; Abbott Honoraria Consulting; Electrical Optical Sciences Honoraria Consulting; Centocor Honoraria Consulting; Medicis Honoraria Consulting; Celgene Honoraria Consulting

CME Editor

Joel M Gelfand, MD, MSCE, Medical Director, Clinical Studies Unit, Assistant Professor, Department of Dermatology, Associate Scholar, Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania
Joel M Gelfand, MD, MSCE is a member of the following medical societies: Society for Investigative Dermatology
Disclosure: AMGEN Consulting fee Consulting; AMGEN Grant/research funds None; Genentech Consulting fee Consulting; Centocor Consulting fee Consulting; Centocor Grant/research funds None; Covance Consulting fee Consulting; Shire  Consulting

Chief Editor

Dirk M Elston, MD, Director, Department of Dermatology, Geisinger Medical Center
Dirk M Elston, MD is a member of the following medical societies: American Academy of Dermatology
Disclosure: Nothing to disclose.

 
 
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