Nodular Fasciitis with Cortical Erosion of the Hand
Clinics in Orthopedic Surgery
;
: 98-101, 2012.
Artigo
em Inglês
| 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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Sarcoma
/
Neoplasias de Tecidos Moles
/
Polegar
/
Biópsia
/
Imageamento por Ressonância Magnética
/
Diagnóstico Diferencial
/
Falanges dos Dedos da Mão
/
Fasciite
Tipo de estudo:
Estudo diagnóstico
Limite:
Adulto
/
Feminino
/
Humanos
Idioma:
Inglês
Revista:
Clinics in Orthopedic Surgery
Ano de publicação:
2012
Tipo de documento:
Artigo
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