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Calcified Aponeurotic Fibroma

Fibroblastic Disorders


Presentation

  • We report a patient who presented with a firm lobulated mass, portions of which were fixed to the left ascending mandibular ramus.[ncbi.nlm.nih.gov]
  • Clinical presentation: The lesion presents as a slow-growing painless soft tissue mass on the hands or feet of several months or even years duration. Site: The lesions are mainly located in the hands or feet.[histopathology-india.net]
  • Calcification is not present. There is no nuclear atypia or necrosis. Mitotic activity is not identified. Benign fibroadipose tissue is present.[librepathology.org]
  • Some of the entities described have characteristic clinical presentations and histopathologic features. Many primarily present in infancy and childhood ( Table 66-1 ).[mhmedical.com]
  • , as noted in the present case. [8], [9] The diagnosis in the present case was achieved on biopsy.[cancerjournal.net]
Pain
  • Utilize the very latest approaches in hip surgery including hip resurfacing, hip preservation surgery, and treatment of hip pain in the young adult; and get the latest information on metal-on-metal hips so you can better manage patients with these devices[books.google.com]
  • Painful calcifying aponeurotic fibroma. Indian J Dermatol Venereol Leprol 2016;82:449-52 How to cite this URL: Khullar G, De D, Tripathy S, Prakash M, Saikia UN, Handa S. Painful calcifying aponeurotic fibroma.[ijdvl.com]
  • In previously reported patients pain was not described as an important factor, but both pain and tenderness were striking in all 3 of our cases.[ncbi.nlm.nih.gov]
  • The fibrous mass, which presents as a firm, poorly marginated nodule, may be asymptomatic or painful. Stipped calcification can be seen when radiographs are taken.[dermis.net]
  • Direct pressure on the tumor by a small, firm object, such as a pinhead, causes excruciating pain (Love test), whereas pressure applied slightly to one side of it elicits no pain.[musculoskeletalkey.com]
Swelling
  • The patient complained of painless swelling and mild limitation of the range of motion of the elbow joint. Radiologically, the mass was ill-defined and showed stippled calcification with shallow bony erosion.[yumpu.com]
  • This is a case of a 22 year old girl who presented with a swelling in the dorsal aspect of right index finger since 1 year.[journalijdr.com]
  • Clinical Presentation Signs/Symptoms: Hard swelling for many years Symptoms dependent on location/size May cause mechanical symptoms from compression of adjacent structures such as tendons, nerve or blood vessels An overlying bursa may form and result[tumorsurgery.org]
Soft Tissue Mass
  • Radiographs typically reveal a nonspecific soft-tissue mass, and calcification is common only in juvenile aponeurotic fibroma. Advanced imaging (ultrasonography, computed tomography, and magnetic resonance [MR] imaging) demonstrates lesion extent.[mayoclinic.pure.elsevier.com]
  • The examination showed a heteroge-ously enhancing soft-tissue mass at the ventralse of the fifth metacarpophalangeal joint abuttingd lying anterior to the flexor tendon.[docslide.net]
  • Clinical presentation: The lesion presents as a slow-growing painless soft tissue mass on the hands or feet of several months or even years duration. Site: The lesions are mainly located in the hands or feet.[histopathology-india.net]
  • - See: - Soft Tissue Menu - Desmoplastic fibroma - Fibromatosis - Discussion: - solitary, beinign fibrous tumor of sof tissue; - it may occur at any age; - lesions arise as a slowly enlarging soft tissue mass; - palmer and planter aspects of the hands[wheelessonline.com]
  • Soft tissue masses in the foot and ankle: characteristics on MR Imaging. Semin Musculoskelet Radiol. 2005; 9 (3): 227-42[ DOI ][ PubMed ][iranjradiol.com]
Pseudotumor
  • Site Only Stanford Medical Sites Ways to Give Find a Person Alumni Lane Library Ways to Give Find a Person Differential Diagnosis Fibrous hamartoma of infancy Infantile desmoid fibromatosis Palmar or plantar fibromatosis Chondroma Calcifying fibrous pseudotumor[surgpathcriteria.stanford.edu]
  • Calcifying fibrous pseudotumor of peritoneum. J Postgrad Med 2007;53:189-90. [ PUBMED ] 11. Konstantakos AK, Shuck JM. Calcifying fibrous pseudotumor of the anterior parietal peritoneum: Treatment by laparoscopic resection.[cancerjournal.net]
  • Fibro-Osseous Pseudotumor of the Digits is an uncommon and benign soft tissue tumor. As the name suggests, it presents as a rapidly growing mass on the hands and feet ranging in size from 1-3 cm.[thedoctorsdoctor.com]
  • Pediatric soft-tissue tumors and pseudotumors: MR imaging features with pathologic correlation: part 2. Tumors of fibroblastic/myofibroblastic, so-called fibrohistiocytic, muscular, lymphomatous, neurogenic, hair matrix, and uncertain origin.[iranjradiol.com]
Pathologist
  • "I'd strongly recommend this book to both pathology residents and seasoned diagnostic pathologists alike."[books.google.com]
  • Such studies may show areas of calcification (hence, the term ‘calcifying’) A tissue biopsy, where the tissue is examined by a pathologist under the microscope, to arrive at a definitive diagnosis Many clinical conditions may have similar signs and symptoms[dovemed.com]
Aspiration
  • Calcifying aponeurotic fibroma features seen on fine-needle aspiration biopsy: case report and brief review of the literature. Diagn Cytopathol. 2001;24:336–9. CrossRef PubMed Google Scholar 4. Kwak HS, Lee SY, Kim JR, Lee KB.[link.springer.com]
  • Aspiration cytology of a pleomorphic lipoma – a cautionary note. Cytopathology 1999 ; 10 (4): 280 –282. 166. Thirumala S, Desai M, Kannan V. Diagnostic pitfalls in fine needle aspiration cytology of pleomorphic lipoma. A case report.[cambridge.org]
  • Fine needle aspiration cytology revealed fascicles and scattered spindle-shaped cells embedded in an eosinophilic matrix. The cells had plump, elongated nuclei with vesicular chromatin and scant to moderate cytoplasm.[ijdvl.com]
  • […] staining for smooth-scle actin and other elements is noted on Mas- n trichrome staining.7 Scattered foci ofondroid differentiation are a distinguishing fea-e.5,10 Recently, cytologic features have beenorted11 and suggest that diagnosis with fine- edle aspiration[docslide.net]
Subcutaneous Mass
  • Case report A 5–month–old female infant presented with a painless subcutaneous mass on the right lateral chest wall. She was admitted for surgical excision because the mass showed slow growth.[austinpublishinggroup.com]
  • The typical clinical presentation is as an ill-defined, slowly progressing, firm, subcutaneous mass, measuring [6] Two growth phases are described: in the early diffuse phase, it is infiltrative and devoid of calcification and the late compact phase is[ijdvl.com]
Fracture
  • See how to proceed better than ever before with 45 surgical videos demonstrating hip revision, patellar tendon allograft preparation, open reduction internal fixation clavicle fracture, total shoulder arthroplasty, total elbow arthroplasty, and more -[books.google.com]
Hip Pain
  • Utilize the very latest approaches in hip surgery including hip resurfacing, hip preservation surgery, and treatment of hip pain in the young adult; and get the latest information on metal-on-metal hips so you can better manage patients with these devices[books.google.com]

Workup

  • A metastatic workup is indicated in most malignant lesions and a chest CT is necessary for those tumors with a propensity for metastasizing to the lungs. Generally, hand tumors are treated surgically.[musculoskeletalkey.com]

Treatment

  • Make informed clinical choices for each patient, from diagnosis and treatment selection through post-treatment strategies and management of complications, with new evidence-based criteria throughout.[books.google.com]
  • : - nonoperative treatment should always be tried and exhausted before considerations are made for excision; - small lesions are especially amenable to orthotic treatment (insole is cut out over the lesion); - excision, when, necessary, must be wide inorder[wheelessonline.com]
  • Herein, we review pediatric cases of CAF that occurred in uncommon sites such as the head, face, neck, and trunk, and discuss the clinical characteristics and treatment of CAF.[austinpublishinggroup.com]
  • Stay at the forefront of your field with updated treatment methods throughout, as well as an increased focus on patients with skin of color.[books.google.ro]

Prognosis

  • Prognosis: • Benign with occasional recurrence.[pedorthpath.com]
  • What is the Prognosis of Calcifying Aponeurotic Fibroma? (Outcomes/Resolutions) The prognosis of Calcifying Aponeurotic Fibroma is generally good.[dovemed.com]
  • […] skeletal muscle Inflammation and hemorrhage Ostechondroma Cartilaginous cap surfacing organized bony trabeculae Calcifying aponeurotic fibroma Highly collagenized fibroblastic proliferation with bands of calcification arising from hyalinzed fibrous tissue PROGNOSIS[thedoctorsdoctor.com]
  • Overall survival of 50% Prognosis: Deeper and proximal poorer prognosis.[slideplayer.com]

Etiology

  • Etiology: Unknown. (Trauma?) TX: Surgery sometimes helpful. Intralesional steroids.[slideplayer.com]
  • . • Finding of human herpervirus-8 DNA sequences were reported, although no exact etiology is known. Sites of involvement: • IMT can occur throughout the body, and the most common sites are the lung, mesentery, and omentum.[pedorthpath.com]
  • Analysis of factors possibly contributing to the etiology and growth behavior. Am J Clin Pathol 1982 ; 77 (6): 674 –680. 79. Hayry P, Reitamo JJ, Vihko R, et al. The desmoid tumor. III. A biochemical and genetic analysis.[cambridge.org]

Epidemiology

  • Synonyms Keasbey tumor Juvenile aponeurotic fibroma Calcifying fibroma Definitions Lesion consisting of spindled fibroblasts, epithelioid mesenchymal cells, and chondroid foci mineralization Typically arises in hands and feet of children CLINICAL ISSUES Epidemiology[basicmedicalkey.com]
  • Epidemiology: • Rare lesion on the digits of young children.[pedorthpath.com]
Sex distribution
Age distribution

Prevention

  • Therefore, accurate preoperative diagnosis and complete excision are important to prevent the recurrence of the tumour after surgical removal.[jmscr.igmpublication.org]
  • A pre-erative diagnosis based on radiographic andRI characteristics of these tumors may preventnecessary biopsy, although meticulous resectionadvocated to prevent recurrence. benefits in any form have been received or will be received from amercial party[docslide.net]

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