دورية أكاديمية
[A hard subcutaneous swelling: not always as malignant as it seems].
العنوان: | [A hard subcutaneous swelling: not always as malignant as it seems]. |
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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 |
تدمد: | 1876-8784 |
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