Nodular Fasciitis with Cortical Erosion of the Hand
Clinics in Orthopedic Surgery
; : 98-101, 2012.
Article
de En
| WPRIM
| ID: wpr-133482
Bibliothèque 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.
Mots clés
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Sarcomes
/
Tumeurs des tissus mous
/
Pouce
/
Biopsie
/
Imagerie par résonance magnétique
/
Diagnostic différentiel
/
Phalanges de la main
/
Fasciite
Type d'étude:
Diagnostic_studies
Limites du sujet:
Adult
/
Female
/
Humans
langue:
En
Texte intégral:
Clinics in Orthopedic Surgery
Année:
2012
Type:
Article