Nodular fasciitis: Difference between revisions
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{{Infobox disease | | {{Infobox disease | | ||
Name = Nodular fasciitis | | Name = Nodular fasciitis | | ||
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MeshID = | | MeshID = | | ||
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{{SI}} | |||
{{CMG}} | |||
{{SK}} Nodular pseudosarcomatous fasciits; subcutaneous pseudosarcomatous fibromatosis | |||
==Overview== | ==Overview== | ||
'''Nodular fasciitis''', also known as '''Nodular pseudosarcomatous fasciits''' and '''Subcutaneous pseudosarcomatous fibromatosis'''<ref name="Fitz2">Freedberg, et al. (2003). ''Fitzpatrick's Dermatology in General Medicine''. (6th ed.). McGraw-Hill. ISBN 0071380760.</ref>{{rp|992}}, is a [[benign]]<ref name="pmid18725954">{{cite journal |author=Sailon AM, Cappuccino G, Hameed M, Fleegler EJ |title=Nodular fasciitis of the hand over the metacarpophalangeal joint: a case report |journal=Eplasty |volume=8 |issue= |pages=e38 |year=2008 |pmid=18725954 |pmc=2491338 |doi= |url=}}</ref> [[lesion]] most commonly found in the [[superficial]] [[fascia]]. | '''Nodular fasciitis''', also known as '''Nodular pseudosarcomatous fasciits''' and '''Subcutaneous pseudosarcomatous fibromatosis'''<ref name="Fitz2">Freedberg, et al. (2003). ''Fitzpatrick's Dermatology in General Medicine''. (6th ed.). McGraw-Hill. ISBN 0071380760.</ref>{{rp|992}}, is a [[benign]]<ref name="pmid18725954">{{cite journal |author=Sailon AM, Cappuccino G, Hameed M, Fleegler EJ |title=Nodular fasciitis of the hand over the metacarpophalangeal joint: a case report |journal=Eplasty |volume=8 |issue= |pages=e38 |year=2008 |pmid=18725954 |pmc=2491338 |doi= |url=}}</ref> [[lesion]] most commonly found in the [[superficial]] [[fascia]]. It is most common in young persons on the upper extremities and trunk. Commonly mistaken for a [[sarcoma]]. | ||
It is most common in young persons on the upper extremities and trunk. Commonly mistaken for a [[sarcoma]]. | ==Pathophysiology== | ||
===Histology=== | |||
== | |||
==Histology== | |||
* Histologically vast array of patterns. | * Histologically vast array of patterns. | ||
* Short S-shaped fascicles, inflammation, accelerated mitotic index with normal mitoses. | * Short S-shaped fascicles, inflammation, accelerated mitotic index with normal mitoses. | ||
* Essentially spindle cell proliferation. | * Essentially spindle cell proliferation. | ||
* Stroma is rich in collagen and/or myxoid ground substance. | * Stroma is rich in collagen and/or myxoid ground substance. | ||
<gallery> | <gallery> | ||
Image:Nodular fasciitis (2).JPG | Image:Nodular fasciitis (2).JPG | ||
Image:Nodular fasciitis (3).JPG</gallery> | Image:Nodular fasciitis (3).JPG | ||
</gallery> | |||
== | ==Natural History and Prognosis== | ||
Similar to a [[dermatofibroma]], it is believed to be a reparative process secondary to trauma, which is frequently not remembered. It evolves rapidly, but is usually less than 3 cm in diameter. There is an extremely low incidence of recurrence after resection. | |||
== References == | |||
{{reflist|2}} | |||
==Related Chapters== | |||
* [[Leiomyosarcoma]] | * [[Leiomyosarcoma]] | ||
* [[List of cutaneous conditions]] | * [[List of cutaneous conditions]] | ||
{{Soft tissue disorders}} | {{Soft tissue disorders}} | ||
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[[Category:Diseases involving the fasciae]] | [[Category:Diseases involving the fasciae]] | ||
{{Diseases of the musculoskeletal system and connective tissue}} | {{Diseases of the musculoskeletal system and connective tissue}} | ||
[[Category:Diseases involving the | [[Category:Diseases involving the fasciae]] | ||
[[Category:Orthopedics]] | [[Category:Orthopedics]] | ||
[[Category:Rheumatology]] | [[Category:Rheumatology]] | ||
Latest revision as of 20:16, 2 November 2012
| Nodular fasciitis | |
| Classification and external resources | |
| File:Nodular fasciitis (1).JPG | |
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| Histopathology of nodular fasciitis found in forearm. H&E stain. | |
| ICD-10 | M72.4 |
| ICD-9 | 728.79 |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Synonyms and keywords: Nodular pseudosarcomatous fasciits; subcutaneous pseudosarcomatous fibromatosis
Overview
Nodular fasciitis, also known as Nodular pseudosarcomatous fasciits and Subcutaneous pseudosarcomatous fibromatosis[1]:992, is a benign[2] lesion most commonly found in the superficial fascia. It is most common in young persons on the upper extremities and trunk. Commonly mistaken for a sarcoma.
Pathophysiology
Histology
- Histologically vast array of patterns.
- Short S-shaped fascicles, inflammation, accelerated mitotic index with normal mitoses.
- Essentially spindle cell proliferation.
- Stroma is rich in collagen and/or myxoid ground substance.
.JPG)
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Natural History and Prognosis
Similar to a dermatofibroma, it is believed to be a reparative process secondary to trauma, which is frequently not remembered. It evolves rapidly, but is usually less than 3 cm in diameter. There is an extremely low incidence of recurrence after resection.
References
- ↑ Freedberg, et al. (2003). Fitzpatrick's Dermatology in General Medicine. (6th ed.). McGraw-Hill. ISBN 0071380760.
- ↑ Sailon AM, Cappuccino G, Hameed M, Fleegler EJ (2008). "Nodular fasciitis of the hand over the metacarpophalangeal joint: a case report". Eplasty. 8: e38. PMC 2491338. PMID 18725954.
Related Chapters
Template:Soft tissue disorders
Template:Diseases of the musculoskeletal system and connective tissue