Multifocal Nodular Fasciitis of the Hand and Shoulder: Case Report

Kotha, Guruvardhan Kumar V; Bj, Venkatramana; Maryada, Venkateshwar Reddy; Jawalkar, Harshad

doi:10.1016/j.jhsa.2014.07.023

Cited by 7 publications

(2 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Nodular fasciitis is almost uni-focal, and multifocal lesions are rarely seen (15,16). The exact pathogenesis of nodular fasciitis is still unknown.…”

Section: Discussionmentioning

confidence: 99%

Imaging findings of radiologically misdiagnosed nodular fasciitis

Zhou

2018

Acta Radiol

View full text Add to dashboard Cite

Background Nodular fasciitis rarely occurs in young adults and children; it usually resembles other tumors, even malignancy. Purpose To review the imaging findings of six cases of nodular fasciitis misdiagnosed radiologically. Material and Methods The clinical and radiologic features of six cases of histologically proven but radiologically misdiagnosed nodular fasciitis were reviewed retrospectively. Two cases underwent both plain and enhanced computed tomography (CT) scans and the other four had both regular and enhanced magnetic resonance (MR) scans. Results All six patients were young (five children and one young adult). A rapid growing mass, pain or painless, was the most frequent presentation. Most masses were oval, well-defined, and homogeneous, with an average diameter of 2.2 cm. Five were found in superficial fascia with a broad base. Two cyst-like masses showed hypodensity relative to muscle on plain CT and without enhancement. Compared to muscle, these masses showed isointensity (n = 3) or slight hyperintensity (n = 1) on T1-weighted imaging, hyperintensity on T2-weighted imaging (n = 4), with homogeneous notable enhancement (n = 3) or mild enhancement (n = 1). Five (83.3%) were found with a "fascial tail" sign characterized as thickening of adjacent fascial layer with notable enhancement. One mass showed an "inverted target" sign. Conclusion Nodular fasciitis in young adults and children is usually superficial, rapid growing, well-defined, and homogeneous, frequently with a "fascial tail" sign. Radiologically, it can resemble a benign cyst and might be easily misdiagnosed. Therefore, nodular fasciitis should be remembered in the differential diagnosis for superficial soft tissue tumor found in young adult and children.

show abstract

“…Nodular fasciitis is almost uni-focal, and multifocal lesions are rarely seen (15,16). The exact pathogenesis of nodular fasciitis is still unknown.…”

Section: Discussionmentioning

confidence: 99%

Imaging findings of radiologically misdiagnosed nodular fasciitis

Zhou

2018

Acta Radiol

View full text Add to dashboard Cite

show abstract

“…21 The signal intensity on MRI is nonspecific, although the more fibrous variety can show intermediate-low signal intensity on both T1-and T2weighted images. 22 The lesions enhance following gadolinium administration, and surrounding edema is not uncommon (Figure 9). A ''tail'' sign reflecting linear extension along the fascia has been described as an important MRI feature.…”

Section: Noncystic Masses Along Tendons and Aponeurosesmentioning

confidence: 99%

Soft-Tissue Tumors of the Hand—Imaging Features

et al. 2020

View full text Add to dashboard Cite

Imaging studies of the hands and fingers are common, and radiologists are generally comfortable with traumatic and degenerative conditions which arise frequently in daily practice. However, a variety of common and uncommon soft-tissue tumors also occur in the hand, the appropriate diagnosis of which can be a source of confusion for both clinicians and radiologists. These lesions often have overlapping imaging characteristics; however, a structured approach can help provide a focused differential diagnosis and impact further workup and management. We discuss several such tumors, categorizing them as cystic-appearing, noncystic masses along tendons and aponeuroses, adipocytic tumors, vascular lesions, and miscellaneous lesions with imaging features that can aid diagnosis.

show abstract

Fibroblastic/Myofibroblastic Tumors

Vandevenne

Schepper

2017

Imaging of Soft Tissue Tumors

View full text Add to dashboard Cite

Multifocal Nodular Fasciitis of the Hand and Shoulder: Case Report

Cited by 7 publications

References 8 publications

Imaging findings of radiologically misdiagnosed nodular fasciitis

Imaging findings of radiologically misdiagnosed nodular fasciitis

Soft-Tissue Tumors of the Hand—Imaging Features

Fibroblastic/Myofibroblastic Tumors

Contact Info

Product

Resources

About