An atypical large ulcero-budding type nodular fasciitis of the hand: a case report

M Diallo,S Gandéma,Pwh Dakouré,M Soulama,V Konségré

doi:10.17159/2309-8309/2017/v16n3a11

Abstract

BACKGROUND: Nodular fasciitis is a benign soft-tissue tumour mimicking a sarcoma. It is generally subcutaneous and small in size. CASE PRESENTATION: The authors report an exceptional case of a large ulcero-budding proliferative nodular fasciitis located on the hand of a 15-year-old boy. CONCLUSION: This exceptional case focused on the effect of repetitive microtrauma on a nodular fasciitis.

Highlights

Nodular fasciitis is a benign soft-tissue tumour mimicking a sarcoma
According to our knowledge and research, no case of an ulcero-budding clinical aspect or a large Nodular fasciitis (NF) has previously been described in the literature
We report the case of a 15-year-old boy who presented with a recurrence of a large ulcero-budding tumour on the dorsal aspect of his right hand

Summary

Background

Nodular fasciitis (NF), known as subcutaneous pseudosarcomatous fibromatosis,[1] pseudosarcomatous fasciitis,[2] and infiltrative fasciitis,[3] is a benign soft-tissue tumour. We report the case of a 15-year-old boy who presented with a recurrence of a large ulcero-budding tumour on the dorsal aspect of his right hand. A large excision with skin graft was performed with a good outcome after two years. A 15-year-old, right-handed schoolboy presented initially with a large ulcero-budding tumefaction on his right hand His history referred to a year before when he had a minimal trauma to the dorsal aspect of his hand, followed by a small painless tumefaction which increased quickly over two weeks to 10 mm in diameter. Clinical findings revealed he was in good physical condition, other than a large oval-shaped, foul, budding and ulcerous tumour around 14 cm in diameter on the dorsum of his hand, with a loss of flexion of the long fingers (Figure 1). The hand was painless, sensitive, and supple with 45 degrees of loss of active extensions of the four long fingers (Figure 5)

Discussion

Conclusion