Nodular Fasciitis with Cortical Erosion of the Hand
Clinics in Orthopedic Surgery
;
: 98-101, 2012.
Article
in English
| WPRIM
| ID: wpr-133483
ABSTRACT
Nodular fasciitis is a benign, reactive myofibroblastic tumor that is often mistaken for a sarcoma because of its histological appearance and rapid growth. Involvement of a finger is extremely rare. We report a case of nodular fasciitis of the thumb, accompanied by bone erosion. Magnetic resonance findings suggested the possibility of a malignancy, which could have led to misdiagnosis as a malignant soft tissue sarcoma. Instead, the lesion was treated by excisional biopsy, which confirmed nodular fasciitis. There has been no evidence of local recurrence at recent follow-up, 1 year after surgery. This case illustrates that, to avoid unnecessarily aggressive surgery, nodular fasciitis must be included in the differential diagnosis for any finger lesion that resembles a sarcoma, even if bone erosion is present.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Sarcoma
/
Soft Tissue Neoplasms
/
Thumb
/
Biopsy
/
Magnetic Resonance Imaging
/
Diagnosis, Differential
/
Finger Phalanges
/
Fasciitis
Type of study:
Diagnostic study
Limits:
Adult
/
Female
/
Humans
Language:
English
Journal:
Clinics in Orthopedic Surgery
Year:
2012
Type:
Article
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