1.Nodular Fasciitis with Cortical Erosion of the Hand.
Jin Sung PARK ; Hyung Bin PARK ; Jong Sil LEE ; Jae Boem NA
Clinics in Orthopedic Surgery 2012;4(1):98-101
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.
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
2.Nodular Fasciitis with Cortical Erosion of the Hand.
Jin Sung PARK ; Hyung Bin PARK ; Jong Sil LEE ; Jae Boem NA
Clinics in Orthopedic Surgery 2012;4(1):98-101
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.
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