دورية أكاديمية

[A hard subcutaneous swelling: not always as malignant as it seems].

التفاصيل البيبلوغرافية
العنوان: [A hard subcutaneous swelling: not always as malignant as it seems].
عنوان ترانسليتريتد: Een harde onderhuidse bult.
المؤلفون: Logger JGM; Elkerliek, afd. Dermatologie, Helmond.; Contact: jade.logger@mumc.nl., Liberton EHCJ; Elkerliek, afd. Dermatologie, Helmond., Vogels RJC; EurofinsPAMM, Eindhoven., van der Wolk S; Elkerliek, afd. Radiologie, Helmond.
المصدر: Nederlands tijdschrift voor geneeskunde [Ned Tijdschr Geneeskd] 2024 Mar 05; Vol. 168. Date of Electronic Publication: 2024 Mar 05.
نوع المنشور: Case Reports; English Abstract; Journal Article
اللغة: Dutch; Flemish
بيانات الدورية: Publisher: Vereniging NTvG Country of Publication: Netherlands NLM ID: 0400770 Publication Model: Electronic Cited Medium: Internet ISSN: 1876-8784 (Electronic) Linking ISSN: 00282162 NLM ISO Abbreviation: Ned Tijdschr Geneeskd Subsets: MEDLINE
أسماء مطبوعة: Publication: 2017?-: Amsterdam : Vereniging NTvG
Original Publication: Houten : Bohn Stafleu van Loghum
مواضيع طبية MeSH: Fasciitis*/diagnosis , Soft Tissue Neoplasms*/diagnosis, Female ; Young Adult ; Humans ; Adult ; Biopsy ; Diagnosis, Differential ; Edema/diagnosis ; Edema/etiology
مستخلص: Background: Nodular fasciitis is a rare, benign soft tissue tumor in young adults on the arms or trunk.
Case Description: A 24-year-old woman with previous pretibial melanoma in situ presented with a painless, rapidly growing subcutaneous hard swelling on the right forearm since two weeks. Ultrasound showed a subcutaneous, irregularly shaped, vascularized mass, suspicious for malignancy. Three days later, the swelling had subsided spontaneously. A new ultrasound showed a smaller, oval, sharply demarcated lesion with an inflammatory aspect. Histopathological-immunohistochemical examination of a biopsy showed a spindle cell lesion consisting of (myo)fibroblasts with some erythrocyte extravasation, consistent with nodular fasciitis. Three months later the nodule was resolved spontaneously without treatment.
Conclusion: Nodular fasciitis should be included in the differential diagnosis in case of hard, fast-growing, subcutaneous bumps in young adults. By ultrasound, it is difficult to differentiate from a malignant soft tissue tumor. A biopsy is necessary to confirm the diagnosis with certainty.
تواريخ الأحداث: Date Created: 20240312 Date Completed: 20240313 Latest Revision: 20240319
رمز التحديث: 20240319
PMID: 38470264
قاعدة البيانات: MEDLINE