Based on a study of 14 patients younger than 16 years, we found that l
umps on the plantar aspect of the anteromedial portion of the heel pad
can safely be observed. Many remained small and asymptomatic, some di
sappeared, and two that required repeated excision biopsy did not subs
equently recur. The six patients who were subjected to excision biopsy
were found to have plantar fibromatosis. This very precise heel site
is a characteristic situation for plantar fibromatosis in childhood.