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Pubmed for Handhelds

PUBMED FOR HANDHELDS

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  • Title: Nodular fasciitis with cortical erosion of the hand.
    Author: Park JS, Park HB, Lee JS, Na JB.
    Journal: Clin Orthop Surg; 2012 Mar; 4(1):98-101. PubMed ID: 22379562.
    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.
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