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KMID : 0613320030090020233
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Journal of the Korean Bone and Joint Tumor Soceity
2003 Volume.9 No. 2 p.233 ~ p.237
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Calcifying Aponeurotic Fibroma - A Case Report -
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Paik Seung-Sam
Jang Ki-Seok
Han Hong-Xiu
Kim Hyung-Jong
Roh Won-Il
Lee Seong-Pil
Lee Kwang-Hyun
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Abstract
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Calcifying aponeurotic fibroma is a benign, aggressive fibrous tumor seen in childhood or adolescence that most commonly affects the palm. We report our experience in treating calcifying aponeurotic fibroma in the hand of fifteen-year-old boy. He was presented with a recurrent mass in hypothenar area of his left hand. He had a history of local excision of the mass 7 years ago in local clinic. The palpable mass was hard, tender and movable. The simple X-ray revealed multifocally scattered microcalcifications in the mass. The excised mass showed the features of dense fibrotic soft tissue tumor with multiple small whitish calcifications. The microscopic sections showed a lobulated and a poorly circumscribed proliferation of dense fibrous tissue, containing islands of metaplastic chondroid differentiation with prominent calcification. The recommended treatment of this lesion is wide excision allowing for sparing of functional or vital structures, but high recurrence rate as this case has been reported to be more than 50 percent.
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KEYWORD
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Calcifying aponeurotic fibroma, Hand, Recurrence
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