Nodular Fasciitis of the Hand Over the Metacarpophalangeal Joint: A Case Report

Abstract

Objective: This study describes a case of nodular fasciitis involving the hand and reviews the neoplasm’s pertinent clinical, histologic, and pathologic features. Methods: The patient’s chart, operative record, histologic specimens, and relevant literature were reviewed. Results: We report a case of nodular fasciitis involving the hand of a 55year-old woman that was treated with marginal excision. Conclusions: Nodular fasciitis is a self-limited, benign soft tissue tumor composed of fibroblasts and myofibroblasts that typically afflicts younger patients and rarely presents in the hand. Because of its presentation, it can be easily mistaken for a malignant neoplasm. However, most cases represent a reactive and therefore a polyclonal process. Marginal excision generally provides definitive treatment. Nodular fasciitis is a self-limited, benign lesion composed of fibroblasts and myofibroblasts. Because of its rapid growth and worrisome histologic features, it may be mistaken for a sarcoma. This lesion is typically found in the proximal upper limb, however, it may rarely present in the hand. 1−4 Although nodular fasciitis is benign, it has been debated whether a reactive or a neoplastic process is responsible for the aberrant proliferation. Here

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