Nodular Fasciitis with Cortical Erosion of the Hand
Clinics in Orthopedic Surgery
; : 98-101, 2012.
Article
en En
| WPRIM
| ID: wpr-133482
Biblioteca responsable:
WPRO
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.
Palabras clave
Texto completo:
1
Índice:
WPRIM
Asunto principal:
Sarcoma
/
Neoplasias de los Tejidos Blandos
/
Pulgar
/
Biopsia
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Imagen por Resonancia Magnética
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Diagnóstico Diferencial
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Falanges de los Dedos de la Mano
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Fascitis
Tipo de estudio:
Diagnostic_studies
Límite:
Adult
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Female
/
Humans
Idioma:
En
Revista:
Clinics in Orthopedic Surgery
Año:
2012
Tipo del documento:
Article