Hemangioma Pedis and Tuberculoma Pedis Sinistra in Children

Abstract

A 15 years old girl with main complaint a mass in her pedis since she was 2 years old. The mass' size was equal with the skin, the color was red, and there were no pain although in walk. The mass got bigger and it started to cause pain when used in walking. The mass get bleedy after it had been crushed by stone,. Then, bleeding always happen when there was a contact, although only soft touch. Patient had contact history with tuberculosis patient. Tuberculoma is a mass that is caused by infection of bacil mycobacterium tuberculosis, while hemangioma is a soft tissue mass that formed by vascular. Hemangioma commonly happened in children about 4-10% in children's tumor. It happened in a girl 3-5 times more than in a boy. Both of them are rare happen in the same time, especially in pedis. From this case, we can find both type in the same patient. For this case of soft tissue tumor, we use open biopsy. After we know the result, the best treatment for hemangioma and tuberculoma of the pedis for this case is below knee amputation. The best treatment for this case is amputation, and after amputation, the patient never complain about pain anymore, she feels satisfied and overall her quality of life is improving Keywords: Hemangioma pedis, Tuberculoma pedis, 15 years old Correspondence : orioctapaedi@gmail.com ABSTRAKSeorang perempuan berusia 15 tahun dengan keluhan utama massa di pedisnya sejak dia berusia 2 tahun. Ukuran massa sama dengan kulit, warnanya merah, dan tidak ada rasa sakit meski digunakan untuk berjalan. Massa semakin besar dan mulai menimbulkan rasa sakit saat digunakan dalam berjalan. Massa menjadi mudah berdarah setelah pernah tersandung batu. Kemudian, pendarahan selalu terjadi saat ada kontak, meski hanya sentuhan lembut. Pasien memiliki riwayat kontak dengan pasien tuberkulosis. Tuberkuloma adalah massa yang disebabkan oleh infeksi basil Mycobacterium tuberculosis, sedangkan hemangioma adalah massa jaringan lunak yang terbentuk oleh pembuluh darah. Hemangioma biasanya terjadi pada anak-anak dan merupakan sekitar 4-10% pada tumor anak-anak. Hemangioma terjadi pada anak perempuan 3-5 kali lebih banyak daripada pada anak laki-laki. Keduanya jarang terjadi pada saat bersamaan,