Nodular fasciitis on the palm of a child

Brimhall, C. L.

doi:10.1001/archderm.125.10.1441

Cited by 17 publications

(13 citation statements)

References 4 publications

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“…A large series of nodular fasciitis showed only 0%–2% of occurrences in the hand (2,4,5). Since Brimhall et al first made a detailed case report of nodular fasciitis of the hand in 1989 (6), only 13 cases (including the current case) have been reported in the English literature as summarized in Table I. The age and size distribution of nodular fasciitis of the hand is similar to those at general sites.…”

Section: Discussionmentioning

confidence: 63%

Nodular fasciitis of the hand in a young athlete. A case report

Hara

Fujita

Fujimoto

et al. 2010

Upsala Journal of Medical Sciences

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Nodular fasciitis is a rapidly growing mass, with high cellularity and mitotic activity, that can be both clinically and histologically misdiagnosed as a soft tissue sarcoma. Nodular fasciitis of the hand is an extremely rare condition. We report a 17-year-old male hand-ball player with nodular fasciitis in the dominant hand. The patient presented with a rapidly growing mass in his right hand and no history of major trauma. On physical examination, a painful mass measuring 2 cm in diameter was observed in the first web space. Magnetic resonance imaging (MRI) demonstrated a subcutaneous mass with isointensity on T1-weighted images and inhomogeneous high intensity on T2-weighted images. The lesion was inhomogeneously enhanced after intravenous administration of gadolinium. Moreover, thallium-201 scintigraphy showed high uptake at the early phase and no wash-out at the delayed phase. We performed an excisional biopsy. The mass was present subcutaneously and adhered to the interosseous muscle fascia. Although a pathological examination by frozen section during surgery showed a low-grade spindle cell sarcoma, the final histological diagnosis was nodular fasciitis. There was no evidence of local recurrence at the recent follow-up 2 years after the operation. We speculate that repeated small injuries as a result of sports activities played an important causative role in the nodular fasciitis.

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Section: Discussionmentioning

confidence: 63%

Nodular fasciitis of the hand in a young athlete. A case report

Hara

Fujita

Fujimoto

et al. 2010

Upsala Journal of Medical Sciences

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“…Forearm (27%-29%) is the most common site followed by back or chest wall (15%-18%), upper arm (12%) and extremely rare in hand (0%-2%). [21][22][23][24] It has been reported in almost all other tissues with the notable exception of the visceral organs. The most common presentation is painless growing or stable mass.…”

Section: Discussionmentioning

confidence: 97%

Unilateral carpal tunnel syndrome: an unusual presentation of nodular fasciitis

et al. 2020

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Nodular fasciitis is a benign, self-limiting proliferative disorder of fibroblast of uncertain aetiology, occurs frequently in the forearm. Nodular fasciitis in hand inducing carpal tunnel syndrome is exceptional. There are four cases of non-intraneural nodular fasciitis causing peripheral neuropathy that has been reported previously. We present the case of a 38-year-old man with features of unilateral carpal tunnel syndrome. Decompression of the median nerve performed subsequently along with excision of the lesion in a piecemeal fashion. Histopathological and immunohistochemical findings were consistent with nodular fasciitis. There were complete resolution of symptoms and no sign of recurrence at the end of 1 year after surgery.

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“…Nodular fasciitis affects both men and women with equal frequency. It is found most commonly in the forearm (27%–29%), back or chest wall (15%–18%), and upper arm (12%) [ [5] , [6] , [7] ]. Pathologically nodular fasciitis is an unencapsulated lesion that is typically well demarcated from the surrounding uninvolved tissue but may be focally infiltrative [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

“…Although nodular fasciitis is well accepted as a self-limited reactive process and not a true neoplasm, its precise etiology is unknown [ 4 ]. Most lesions are solitary and occur in adults 20–40 years of age [ [5] , [6] , [7] ]. Nodular fasciitis affects both men and women with equal frequency.…”

Section: Introductionmentioning

confidence: 99%

Nodular fasciitis mimicking a soft tissue sarcoma – A case report

Khanna

Rajan

Reddy

et al. 2018

International Journal of Surgery Case Reports

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HighlightsNodular Fasciitis, also known as infiltrative or pseudosarcomatous fasciitis, is a benign soft tissue tumour of fibroblastic/myofibroblastic differentiation.Magnetic Resonance Imaging was done and showed an irregular mass in the right axilla in the muscular- subcutaneous plane measuring 10.8 × 8.8 × 12 cm.Positive staining with alpha smooth muscle actin(SMA) is a feature of nodular fasciitis suggesting a myofibroblastic differentiation and less possibility of a sarcoma.Treatment options include, observation, as spontaneous regression has been reported, intra-lesional steroid or wide local excision.Magnetic Resonance Imaging along with histopathology and immunohistochemistry are key to diagnosis.

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Nodular fasciitis on the palm of a child

Cited by 17 publications

References 4 publications

Nodular fasciitis of the hand in a young athlete. A case report

Nodular fasciitis of the hand in a young athlete. A case report

Unilateral carpal tunnel syndrome: an unusual presentation of nodular fasciitis

Nodular fasciitis mimicking a soft tissue sarcoma – A case report

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