Updated: 10/6/2016

Nodular Fasciitis

Topic
Review Topic
0
0
Questions
1
0
0
https://upload.orthobullets.com/topic/8063/images/46a_moved.jpg
https://upload.orthobullets.com/topic/8063/images/46b_moved.jpg
https://upload.orthobullets.com/topic/8063/images/46c_moved.jpg

Introduction
  • A common reactive lesion that usually occurs in upper extremities of young people (ages 15-35)
    • Incidence
      • most common fibrous soft tissue lesion
      • half of the cases occur in the upper extremities
    • Demographics
      • males and females equally affected
    • Body locations
      • volar forearm, back, chest wall, head and neck
Presentation
  • Symptoms
    • may be painless or painful
      • painful in half of patients
    • often rapidly enlarging mass over 1 to 2 weeks
    • lesions 1 to 2 cm
Imaging
  • Radiograph 
    •  usually normal
  • MRI 
    • shows deep seated inhomogeneous mass 
    • nodularity with extension along the fascial planes
    • avid enhancement with gadolinium
    • most commonly is superficial but can occur intramuscularly or along the superficial plane
Histology
  • Classic characteristics are
    • short irregular bundles and fascicles 
    • dense reticulum network
    • small amounts of mature collagen
Treatment
  • Operative
    • marginal resection
Differentials & Groups
         
Treated with marginal excision (2)
 
Nodular fasciitis (soft tissue)        
 
Periosteal chondroma        
 
Neurilemoma (soft tissue)        
 
Epidermal inclusion cyst        
 
Glomus tumor        
 
 
Ibank
  Location
Xray
Xray
CT
B. Scan
MRI
MRI
Histo(1)

Case A

tibia
 
 
(1) - histology does not always correspond to case 


 

Please rate topic.

Average 1.8 of 5 Ratings

Thank you for rating! Please vote below and help us build the most advanced adaptive learning platform in medicine

The complexity of this topic is appropriate for?
How important is this topic for board examinations?
How important is this topic for clinical practice?
Questions (1)
Question locked
Sorry, this question is for
PEAK Premium Subscribers only
Upgrade to PEAK
Topic COMMENTS (1)
Private Note