Abstract：
We present a case of a patient who underwent a modified scarf osteotomy and tumour excision based on a preoperative diagnosis of hallux valgus deformity and accompanying bursitis. Subsequent histopathological examination revealed that the tumour was an angioleiomyoma. While tumours around the first metatarsophalangeal (MTP) joint are typically associated with gouty nodules, infections, or swollen bursa (bursitis) in patients with hallux valgus deformity, the occurrence of soft tissue tumours in this area is rare. Moreover, angioleiomyoma is an even rarer form of soft tissue tumour and is seldom suspected prior to resection. To our knowledge, there have been no reports of angioleiomyoma arising in the first MTP joint. However, it is important to consider the possibility of an atypical tumour in cases where soft tissue masses are present, even in patients with hallux valgus deformity, and to perform at least imaging tests such as ultrasound and magnetic resonance imaging before surgery. This prospect should always be kept in mind.
摘要：
我们介绍了一例患者，该患者根据术前诊断外翻畸形和伴发滑囊炎进行了改良的围巾截骨术和肿瘤切除术。随后的组织病理学检查显示肿瘤是血管平滑肌瘤。虽然第一meta趾（MTP）关节周围的肿瘤通常与痛风结节有关，感染,或肿胀的滑囊（滑囊炎）患者的外翻畸形，在该区域很少发生软组织肿瘤。此外，血管平滑肌瘤是一种更罕见的软组织肿瘤，在切除前很少被怀疑。据我们所知,没有在第一个MTP关节中出现血管平滑肌瘤的报道.然而,在存在软组织肿块的情况下，重要的是要考虑非典型肿瘤的可能性，即使是有外翻畸形的病人,并在手术前至少进行成像测试，例如超声和磁共振成像（MRI）。这个前景应该永远铭记在心。
