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Rinkinen J, Chetta MD, Chung KC. Proximal Interphalangeal Joint Fibromatosis After Pyrocarbon Implant Insertion: A Case Report. Hand (N Y) 2016; 11:NP10-NP15. [PMID: 27698644 PMCID: PMC5030863 DOI: 10.1177/1558944715627630] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Background: Pyrocarbon implants represent an increasingly popular method to treat proximal interphalangeal joint dysfunction. To this point, no association has been shown between pyrocarbon biomaterials and fibromatosis. We present a potentially serious and destructive complication associated with pyrocarbon arthroplasty. Methods: We demonstrate a clinical case involving pyrocarbon arthroplasty and subsequent fibromatosis development in an otherwise healthy 23-year-old female. To present this association, we illustrate the diagnostic workup involved in a rapidly expanding soft tissue mass of the hand and explain the appropriate treatment. Results: Pyrocarbon arthroplasty was associated with development of locally destructive fibromatosis confirmed by histopathological examination. Treatment involved wide resection with preservation of local structures. Conclusion: We describe the first association between fibromatosis and pyrocarbon biomaterial. Due to fibromatosis destructive effects, clinicians should be aware of potential complications associated with these materials and know how to accurately diagnose and treat these lesions.
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Affiliation(s)
- Jacob Rinkinen
- University of Michigan Medical School, Ann Arbor, MI, USA
| | | | - Kevin C. Chung
- University of Michigan Health System, Ann Arbor, MI, USA,Kevin C. Chung, Section of Plastic Surgery, University of Michigan Health System, 1500 E. Medical Center Drive, 2130 Taubman Center, SPC 5340, Ann Arbor, MI 48109-5340, USA.
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2
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Recurrent infantile digital fibromatosis. ANNALS OF PEDIATRIC SURGERY 2014. [DOI: 10.1097/01.xps.0000438125.55523.4f] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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3
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Elston DM. Fibrous tumors. Dermatopathology (Basel) 2014. [DOI: 10.1016/b978-0-7020-5527-0.00020-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Aldrink JH, Nicol K, Wang W, Teich S. Fibrous soft tissue tumors: factors predictive of recurrence. J Pediatr Surg 2013; 48:56-61. [PMID: 23331793 DOI: 10.1016/j.jpedsurg.2012.10.018] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/22/2012] [Accepted: 10/13/2012] [Indexed: 11/25/2022]
Abstract
BACKGROUND/PURPOSE Fibrous soft tissue tumors (FSTT) of infancy and childhood present a challenge to surgeons due to ambiguous histological interpretation, propensity for local recurrence, and uncertainty regarding appropriate therapy. METHODS Records were reviewed for patients diagnosed and treated for FSTT at our institution from 1992 to 2010. Data included demographics, tumor location, operative treatment, histopathology, margin status, mitotic index, and recurrence. RESULTS Eighty-six patients underwent treatment of FSTT. Mean follow-up time was 62 months (range 1 to 201 months). There were 11 recurrences (13%), with a mean time to recurrence of 23 months. Extremity and digital lesions were most likely to recur with 21% of such lesions recurring compared to 7% of lesions located elsewhere. Recurrences were seen more frequently in older children. Despite the presence of positive margins in 92% of cases, margin status, histopathology, and mitotic index were not significant predictors of recurrence. CONCLUSIONS Digital and extremity fibrous soft tissue tumors and tumors of older children have an increased risk for local recurrence. Margin status did not predict recurrence rates in this series. While the surgical goal is to obtain complete local resection with clear margins, this may be challenging in particular locations and may not ultimately impact recurrence.
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Affiliation(s)
- Jennifer H Aldrink
- Department of Surgery, Division of Pediatric Surgery, The Ohio State University College of Medicine and Nationwide Children's Hospital, Columbus, OH 43205, USA.
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Tempark T, Chatproedprai S, Mahayosnond A, Wananukul S. Fibromatosis colli, overlooked cause of neonatal torticollis: A case report. ACTA ACUST UNITED AC 2012. [DOI: 10.1016/j.pedex.2011.07.007] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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Abstract
Aggressive fibromatosis is a comparitively rare tumor with unpredictable growth and varying local recurrence rates. It does not develop distant metastases but locally it shows an aggressive and infiltrative behavior. Clinically, aggressive fibromatosis manifests as a painless, firm, often rapidly enlarging mass, fixed to underlying bone or soft tissue. It is never encapsulated. Histologically, it is rich in collagen and fibroblastic cells that are devoid of hyperchromatic or atypical nuclei, but with more variable cellularity in different tumor sections.
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Affiliation(s)
- Devi C Shetty
- Department of Oral and Maxillofacial Pathology, I.T.S.-C.D.S.R., Muradnagar, Ghaziabad, India
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Kiverniti E, Cilasun U, Singh A, Kazi R, Clarke PM, Archer DJ. Aggressive Fibromatosis of the Oropharynx: A Multidisciplinary Approach to a Benign Disease. EAR, NOSE & THROAT JOURNAL 2009. [DOI: 10.1177/014556130908800509] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
We present the case of a 23-year-old woman with aggressive fibromatosis of the oropharynx that was initially treated elsewhere as a peritonsillar abscess. We discuss the characteristics of this rare tumor and review the literature, stressing the importance of postoperative follow-up for peritonsillar abscesses to avoid missing other important diagnoses, such as the one described here.
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Affiliation(s)
| | - Ulkem Cilasun
- Department of Head and Neck Surgery, The Royal Marsden Hospital, London, U.K
| | - Arvind Singh
- Department of Head and Neck Surgery, The Royal Marsden Hospital, London, U.K
| | - Rehan Kazi
- Department of Head and Neck Surgery, The Royal Marsden Hospital, London, U.K
| | - Peter M. Clarke
- Department of Head and Neck Surgery, The Royal Marsden Hospital, London, U.K
| | - Daniel J. Archer
- Department of Head and Neck Surgery, The Royal Marsden Hospital, London, U.K
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Non-malignant fibrosing tumors in the pediatric hand: a clinicopathologic case review. Hand (N Y) 2009; 4:2-11. [PMID: 19048350 PMCID: PMC2654948 DOI: 10.1007/s11552-008-9148-5] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/06/2008] [Accepted: 10/24/2008] [Indexed: 10/21/2022]
Abstract
Non-malignant fibrosing tumors in the pediatric hand or juvenile fibromatoses are clinically challenging because of their relatively infrequent occurrence and because of the variety of names associated with these diseases. We conducted a review of a personal case series of pediatric patients with these tumors and discuss here the more common histologic types and clinical characteristics of the disease spectrum in the context of the available published literature. All histologic samples were reviewed by a single pathologist. Infantile myofibromatosis, fibrous hamartoma of infancy, juvenile aponeurotic fibromatosis, palmar fibromatosis (Dupuytren's type), infantile digital fibromatosis (Reye's tumor), fibroma of the tendon sheath, and melorheostosis represent the encountered lesions.
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Castellazzi G, Vanel D, Le Cesne A, Le Pechoux C, Caillet H, Perona F, Bonvalot S. Can the MRI signal of aggressive fibromatosis be used to predict its behavior? Eur J Radiol 2009; 69:222-9. [DOI: 10.1016/j.ejrad.2008.10.012] [Citation(s) in RCA: 38] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2008] [Accepted: 10/02/2008] [Indexed: 12/18/2022]
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Elston DM. Fibrous tumors. Dermatopathology (Basel) 2009. [DOI: 10.1016/b978-0-7020-3023-9.10020-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Kuhnen C, Helwing M, Rabstein S, Homann HH, Müller KM. Desmoidfibromatosen (aggressive Fibromatosen). DER PATHOLOGE 2005; 26:117-26. [PMID: 15657684 DOI: 10.1007/s00292-004-0742-1] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Desmoid-type fibromatoses (aggressive fibromatoses) represent infiltrative, locally destructively growing soft tissue tumors with a high potential for recurrence. Desmoid tumors of 33 adult patients were analysed regarding clinical and morphological aspects (sex, age distribution, site, size, mitotic rate, tumor microvessel density, surgical margins, additional radiotherapy). Possible statistical correlations were examined using log-rank-tests. No prognostic significance of tumor microvessel density was evident. A correlation between mitotic index (1 or more mitoses per 50 high power fields) and local relapse rate was notably striking, but not statistically significant (log-rank: 0.17). Additional postoperatively applied radiotherapy proved to be statistically significant to avoid local recurrences (log-rank: 0.01). The presented results may indicate an increased risk for local relapse in those desmoid-type fibromatoses which are mitotically active. Postoperative radiotherapy seems to be effective in the treatment of aggressive fibromatosis to avoid tumor recurrence. Differential diagnosis of desmoid-type fibromatosis/aggressive fibromatosis in adulthood include various fibroblastic/myofibroblastic soft tissue tumors such as nodular fasciitis, fibrosarcoma, low-grade fibromyxoid sarcoma, myofibroblastic sarcoma as well as leiomyosarcoma and soft tissue leiomyoma.
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Affiliation(s)
- C Kuhnen
- Institut für Pathologie, Register für Gliedmassentumoren, Berufsgenossenschaftliche Kliniken Bergmannsheil, Ruhr-Universität Bochum.
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Klein AM, Schoem SR, Altman A, Eisenfeld L. Inflammatory myofibroblastic tumor in the neonate: a case report. Otolaryngol Head Neck Surg 2003; 128:145-7. [PMID: 12574774 DOI: 10.1067/mhn.2003.45] [Citation(s) in RCA: 18] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Affiliation(s)
- Adam M Klein
- Department of Otolaryngology, Connecticut Children's Medical Center, Hartford 06106, USA
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Williams W, Craver RD, Correa H, Velez M, Gardner RV. Use of 2-chlorodeoxyadenosine to treat infantile myofibromatosis. J Pediatr Hematol Oncol 2002; 24:59-63. [PMID: 11902743 DOI: 10.1097/00043426-200201000-00016] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
A 3-year-old boy had fever and bone pain. Magnetic resonance imaging of his femurs showed marrow replacement; iliac crest marrow biopsy revealed myelofibrosis. Although the pathologic criteria for Langerhans cell histiocytosis were not met, the clinical picture led to treatment with etoposide and methylprednisolone, without clinical improvement. One month after presentation, generalized tonic-clonic seizures occurred, and magnetic resonance imaging revealed parenchymal brain lesions. 2-chlorodeoxyadenosine was used. Because of the unexpected lack of response to etoposide and methylprednisolone, a second bone biopsy was performed. The diagnosis was revised to infantile myofibromatosis. After six courses of 2-chlorodeoxyadenosine, brain and bone lesions regressed, with resolution of the clinical symptoms.
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Gregorio Álvarez Fernández J, Gómez de la Fuente E, Rodríguez Vázquez M, Javier Vicente Martín F, Sols Rodríguez-Candela M, López Estebaranz JL, Pinedo Moraleda F. Miofibromatosis infantil solitaria. ACTAS DERMO-SIFILIOGRAFICAS 2002. [DOI: 10.1016/s0001-7310(02)76599-x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Netscher DT, Eladoumikdachi F, Popek EJ. Infantile myofibromatosis: case report of a solitary hand lesion with emphasis on differential diagnosis and management. Ann Plast Surg 2001; 46:62-7. [PMID: 11192039 DOI: 10.1097/00000637-200101000-00014] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Infantile myofibromatosis, both solitary and multicentric types, is discussed with emphasis on the importance of diagnosing this condition correctly. Its distinctive clinical and histological characteristics are described, as are the hazards of overhasty and overly ambitious surgical intervention. Other similarly presenting fibromatous diseases of infancy and childhood are discussed, including aplasia cutis, infantile fibrosarcoma, recurring infantile digital fibromatosis, and juvenile aponeurotic fibromatosis. A case of infantile myofibromatosis, solitary type, is reported, and the two surgical procedures carried out over a 4-year period are described. The importance of histological and immunohistochemical evaluation of lesions present during the neonatal period is stressed.
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Affiliation(s)
- D T Netscher
- Division of Plastic Surgery, Baylor College of Medicine, Houston, TX, USA
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Abstract
This article summarizes several malignant childhood neoplasms and benign tumors that can mimic malignancies. Because malignant skin tumors are rare in children, parents and physicians often are not sufficiently suspicious to ensure that an early diagnosis can be made. Many malignant skin tumors have features that suggest a vascular or hemangioma-like lesion. Because hemangiomas occur in 10% of infants, it is often considered prudent to adopt a wait-and-see attitude; however, if the lesion is too firm to be a hemangioma or its growth pattern does not follow that of a typical hemangioma, additional options should be considered. To manage childhood skin malignancies, one needs expert consultation, early biopsy, and correct histopathologic interpretation.
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Affiliation(s)
- A J Wyatt
- Department of Medicine (Dermatology), University of Arizona College of Medicine, Tucson, USA
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