Proliferative fasciitis of the forearm: Case report with immunohistochemical, ultrastructural and DNA ploidy studies and a review of the literature

Sasano, Hironobu; Yamaki, Hideo; Ohashi, Yusuke; Ohtsuki, Syuichi; Nishimura, Hiroshi

doi:10.1111/j.1440-1827.1998.tb03938.x

Cited by 11 publications

(2 citation statements)

References 11 publications

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“…[ 3 ] Some studies have mentioned PF to be occurring as a repair reaction after minor trauma. [ 1 4 ] There was a history of laparoscopic appendectomy 2 years back, and a port was placed in RIF which might have been the trigger for the formation of PF. In retrospect, excising the lesion laparoscopically resulted in avoiding any weakening of the anterior abdominal wall.…”

Section: Discussionmentioning

confidence: 99%

Proliferative fasciitis arising from the abdominal wall

Dey

Ahuja

Mittal

et al. 2022

Journal of Minimal Access Surgery

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Proliferative fasciitis (PF) is a rare pseudosarcomatous lesion arising from the subcutaneous fascia and the fibrous septa. Only few hundred cases have been reported in the literature. In the largest series of 53 patients, only two patients had PF lesion arising from the flank. The most common site of origin is extremities followed by abdomen and head and neck. Its origin from the abdominal wall layer and presentation as the fever has been rarely reported in the literature. A PF lesion larger than 5 cm dimension has been sparsely noted. We report the presence of this rare entity in a 68-year-old gentleman who presented to us with low-grade fever and the presence of large lump arising from the abdominal wall. In our patient, the lesion was arising from transervsalis fascia and was excised in toto laparoscopically without damaging the abdominal muscles. It is imperative to differentiate both these lesions from sarcoma on histopathological examination as the follow-up treatment protocols for both vary.

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Section: Discussionmentioning

confidence: 99%

Proliferative fasciitis arising from the abdominal wall

Dey

Ahuja

Mittal

et al. 2022

Journal of Minimal Access Surgery

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“…Of some interest is that GATA 3 was negative in the large atypical and spindle cells but stained the nuclei of T lymphocytes in the background. 20 Genetic studies of proliferative fasciitis have been incomplete, with polyploidy 28 and trisomy 2 29 being the salient findings to date.…”

Section: Discussionmentioning

confidence: 99%

Epibulbar Proliferative Fasciitis, a Variant of Nodular Fasciitis: A Differential Diagnosis of Conditions With Focal or Diffuse Myxoid Stromas

Barrantes

Mihm

2021

Ophthalmic Plastic &Amp; Reconstructive Surgery

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Purpose: To describe the clinical and pathologic features of a case of epibulbar proliferative fasciitis and to compare it with other focal or diffuse myxoid lesions. Methods: A clinical, histopathologic, and immunohistochemical analysis was performed. The clinical history, photographic documentation, history, and referred slides were reanalyzed. Additional immunohistochemical stains were performed at our institution. Results: A 68-year-old woman developed over a week a brightly vascularized and focally hemorrhagic placoid lesion on the temporal side of the OS. She had had earlier augmentation breast surgery that had been mistakenly initially reported to us to be for breast carcinoma. Hematoxylin- and eosin-stained reactions revealed microscopically a spindle cell lesion with an intact nonkeratinizing epithelium and a background myxoid stroma with prominent capillaries and a light dispersion of small T-cell lymphocytes. Most striking among the spindle cells were some widely separated large atypical cells. The atypical cells were cytokeratin positive, but an expansive panel of immunohistochemical stains for breast carcinoma was negative. The lesion was diagnosed as proliferative fasciitis and has not recurred after 1-year follow up. Conclusion: A rapidly evolving conjunctival lesion is unlikely to be a primary or metastatic carcinoma. In the current case, the large ganglioform or rhabdomyoblast-like cells displayed diffuse cytokeratin positivity, still consistent with a mesenchymal or connective tissue cell lineage. Cytokeratin expression has been a finding previously reported in connective tissue tumors and in lymphoma cells. While the current lesion clinically resembles a conventional nodular fasciitis, the presence of the large atypical cells can lead to the misdiagnosis of a sarcoma, which typically displays a much higher Ki-67 proliferation index in comparison with nodular/proliferative fasciitis.

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Tumours of Soft Tissue and Bone, and Other Mesenchymal Tumours

Eyden

Banerjee

2013

The Ultrastructure of Human Tumours

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Proliferative fasciitis of the forearm: Case report with immunohistochemical, ultrastructural and DNA ploidy studies and a review of the literature

Cited by 11 publications

References 11 publications

Proliferative fasciitis arising from the abdominal wall

Proliferative fasciitis arising from the abdominal wall

Epibulbar Proliferative Fasciitis, a Variant of Nodular Fasciitis: A Differential Diagnosis of Conditions With Focal or Diffuse Myxoid Stromas

Tumours of Soft Tissue and Bone, and Other Mesenchymal Tumours

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