Plantar nerve neural fibrolipoma: rare neuroma arising from the plantar nerve of the heel

Every year, as many as 2 million patients worldwide present with plantar heel pain, with men and women being affected equally. This case reports reflects upon a healthy 46-year-old female who presented with a subtype of true neoplasm called as neural fibrolipoma arising from the plantar nerve. This 17 × 7 × 11-mm painful soft tissue mass was firstly detected by USS, which showed this mass extended deep to the plantar fascia and not arising from it, hence ruling out the common misconception of plantar fibromatosis. Later, as discussed in the Yorkshire Sarcoma MDT with magnetic resonance imaging images, a malignancy was ruled out. The patient eventually opted for an excision biopsy which confirmed the neural fibrolipoma followed by an excellent outcome at a 2-year review. This case report highlights the need to consider the neural fibroplipoma as a rare case of plantar/heel pain, and excision of the lesion would provide an excellent outcome.