Journal List > Arch Hand Microsurg > v.24(3) > 1143548

Hong, Choi, Kim, and Lee: Calcifying Aponeurotic Fibroma in Dangerous Zone of Hand in Young Child

초록

Pediatric hand masses are often seen in outpatient department of the hospital. There are kinds of masses that can occur and it is important to discriminate between malignant and benign, since the treatment may be different. Calcifying aponeurotic fibroma (CAF) is a rare benign soft tissue in children and adolescents. It primarily occurs on the distal portion of the extremities, typically fingers, palms of the hands and plantar aspects of the feet. The recommended treatment of CAF is conservative local excision. Considering its benign characteristics and the rare metastasis, a strong and enough efforts should be made, whenever possible, to preserve the function of involved extremities, especially in child. In our report, we present a case of a 4-year-old girl with a CAF found near the course of motor branch of ulnar nerve at the palm and being performed surgical removal successfully with preserving the nerves.

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Fig. 1.
Preoperative image: slightly movable and poorly cir-cumscribed mass in the palm of her right hand.
ahm-24-248f1.tif
Fig. 2.
Ultrasonographic image: 0.5 cm sized isoechoic nodule.
ahm-24-248f2.tif
Fig. 3.
X-ray image: no specific findings and bony abnormality.
ahm-24-248f3.tif
Fig. 4.
Intraoperative image: a yellowish 15×10 mm mass with areas of speckled calcification.
ahm-24-248f4.tif
Fig. 5.
Histopathologic images. (A) The tumor exhibited infiltrative growth pattern, extending the surrounding soft tissue (H&E stain, ×4). (B) There were multifocal area of calcification in the tumor (H&E stain, ×400). (C) The tumor was composed of benign spindle cells with round to ovoid nuclei and eosinophilic cytoplasms (H&E stain, ×40).
ahm-24-248f5.tif
Fig. 6.
Postoperative image: 2 years after the operation, there is asymptomatic and no signs of recurrence.
ahm-24-248f6.tif
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