Abstract
Calcifying aponeurotic fibroma (CAF) is a rare lesion that can affect the feet and should be considered as a differential diagnosis of plantar tumors. The treatment is given by surgical resection, and the definitive diagnosis is confirmed by histopathological analysis. This case report shows the presentation and treatment of a 17-year-old patient with CAF and emphasizes the importance of proper imaging planning to reduce risks and recurrence. Level of Evidence V; Therapeutic Studies; Expert Opinion.
Highlights
IntroductionCalcifying aponeurotic fibroma (CAF) is a rare benign tumor of fibroblastic origin with locally aggressive behavior(1) that typically develops in the fascia and tendons of the palms or soles of children and adolescents
The treatment is given by surgical resection, and the definitive diagnosis is confirmed by histopathological analysis
Calcifying aponeurotic fibroma (CAF) is a rare benign tumor of fibroblastic origin with locally aggressive behavior(1) that typically develops in the fascia and tendons of the palms or soles of children and adolescents
Summary
Calcifying aponeurotic fibroma (CAF) is a rare benign tumor of fibroblastic origin with locally aggressive behavior(1) that typically develops in the fascia and tendons of the palms or soles of children and adolescents. It has been described in several age groups, the peak incidence occurs between 8 and 14 years of age and it is twice as frequent in males as in females(2-5). The typical presentation of the tumor is as a painless, locally aggressive, subcutaneous, poorly defined, firm mass of slow growth that is not adherent to the skin, but to the adjacent subcutaneous tissue(6).
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