Abstract
Preface Fibroma of tendon sheath (FTS) was initially scripted by Geschickter et al in 1949. Subsequently, Chung and Enzinger elaborated upon cogent clinical and pathological manifestations of the neoplasm. Fibroma of tendon sheath is denominated as a benign, fibroblastic, nodular neoplasm which emerges from synovium of tendon sheath. As fibroma of tendon sheath characteristically originates from adherent tendons and tendon sheaths, it predominantly incriminates small joints of upper limb as fingers, hands and wrists. Infrequently, the toe, foot, ankle, leg, knee, shoulder, elbow, forearm, chest, back and temporomandibular joints are implicated.
Highlights
Fibroma of tendon sheath is often associated with delayed clinical representation of a painless, gradually evolving tumefaction which can abut, irritate and compress encompassing soft tissues
Differential Diagnosis Fibroma of tendon sheath requires a segregation from neoplasia such as schwannoma, chondroma or tenosynovial giant cell tumour
Fibroma of tendon sheath mandates a demarcation from benign mesenchymal neoplasia as giant cell tumour of tendon sheath or localized nodular tenosynovitis, circumscribed fibromatosis, nodular fasciitis, neurofibroma, leiomyoma, scar tissue or benign fibrous histiocytoma(4,6)
Summary
Fibroma of tendon sheath involves the small joints as fingers and wrists in an estimated 80% to 85% individuals whereas incrimination of large joints is exceptional. Extra articular fibroma of tendon sheath of large joints depicts pain upon joint movement or infrequent, radiating pain due to irritation of soft tissue circumscribing the tumefaction (3, 4). Fibroma of tendon sheath is often associated with delayed clinical representation of a painless, gradually evolving tumefaction which can abut, irritate and compress encompassing soft tissues.
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