Nodular Fasciitis with Cortical Erosion of the Hand.
- Author:
Jin Sung PARK
1
;
Hyung Bin PARK
;
Jong Sil LEE
;
Jae Boem NA
Author Information
- Publication Type:Case Reports
- Keywords: Thumb; Nodular fasciitis; Cortical erosion
- MeSH: Adult; Biopsy; Diagnosis, Differential; Fasciitis/*diagnosis/surgery; Female; Finger Phalanges/pathology/*radiography; Humans; Magnetic Resonance Imaging; Sarcoma/*diagnosis; Soft Tissue Neoplasms/*diagnosis; Thumb/*pathology/surgery
- From:Clinics in Orthopedic Surgery 2012;4(1):98-101
- CountryRepublic of Korea
- Language:English
- 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.
