Nodular fasciitis with cortical erosion of the hand

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 f...

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Bibliographic Details
Published in:Clinics in orthopedic surgery 2012, 4(1), , pp.98-101
Main Authors: Park, Jin Sung, Park, Hyung Bin, Lee, Jong-Sil, Na, Jae-Boem
Format: Article
Language:English
Subjects:
Adult
Biopsy
Case Report
Diagnosis, Differential
Fasciitis - diagnosis
Fasciitis - surgery
Female
Finger Phalanges - diagnostic imaging
Finger Phalanges - pathology
Humans
Magnetic Resonance Imaging
Radiography
Sarcoma - diagnosis
Soft Tissue Neoplasms - diagnosis
Thumb - pathology
Thumb - surgery
정형외과학
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Summary: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.
ISSN:2005-291X
2005-4408
DOI:10.4055/cios.2012.4.1.98