Nodular Fasciitis with Cortical Erosion of the Hand
Clinics in Orthopedic Surgery
;
: 98-101, 2012.
Article
Dans Anglais
| WPRIM
| ID: wpr-133482
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.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Sarcomes
/
Tumeurs des tissus mous
/
Pouce
/
Biopsie
/
Imagerie par résonance magnétique
/
Diagnostic différentiel
/
Phalanges de la main
/
Fasciite
Type d'étude:
Etude diagnostique
Limites du sujet:
Adulte
/
Femelle
/
Humains
langue:
Anglais
Texte intégral:
Clinics in Orthopedic Surgery
Année:
2012
Type:
Article
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