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KMID : 1207720120040010098
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Clinics in Orthopedic Surgery
2012 Volume.4 No. 1 p.98 ~ p.101
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Nodular Fasciitis with Cortical Erosion of the Hand
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Park Jin-Sung
Park Hyung-Bin
Lee Jong-Sil
Na Jae-Boem
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Abstract
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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.
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KEYWORD
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Thumb, Nodular fasciitis, Cortical erosion
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