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[Fibro-osseous Pseudotumor of the Digits - a Chameleon among generally rare Hand Tumors]. HANDCHIR MIKROCHIR P 2022; 54:74-76. [PMID: 35168271 DOI: 10.1055/a-1690-7420] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
EinleitungDer fibro-ossäre Pseudotumor der Finger (FOPD = fibro-osseous pseudotumor of the digits) ist unter den Handtumoren insgesamt als auch unter den benignen Handtumoren eine seltene Entität. FOPD können sowohl klinisch als auch radiologisch eine maligne Neoplasie nachahmen. Hauptsächlich tritt dieser Tumor bei jüngeren Erwachsenen, vorwiegend Frauen, auf. Bis dato ist eine maligne Transformation nicht beschrieben. Allerdings führen klinische und histologische Befunde fälschlicherweise immer wieder zur Diagnose eines bösartigen Tumors.
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Liu D, Qi B, Huang Z, Pan Z. Fibro-Osseous Pseudotumor. Orthopedics 2021; 44:e713-e718. [PMID: 34618638 DOI: 10.3928/01477447-20211001-10] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
Fibro-osseous pseudotumor is an extremely rare subcutaneous benign ossifying lesion associated with bone formation that is most commonly seen in the hands, followed by the toes. Because the tumor has a certain degree of invasiveness, it is often mistaken for malignancy, which leads to radical, excessive treatment. Our case involved a 32-year-old man with lesions on the left index finger. We documented the detailed data of diagnosis, treatment, and follow-up. We also conducted a review and summarized the published cases to advance our understanding of the disease, provide more accurate diagnostic criteria, and avoid inappropriate surgical procedures. [Orthopedics. 2021;44(6):e713-e718.].
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Nunes Pombo J, Nixon Martins A, Paias Gouveia C, Pena B, López-Presa D, Ribeiro G. Benign growing mass of the digit presenting as an ulcerated mass - case report and review of the literature. CASE REPORTS IN PLASTIC SURGERY AND HAND SURGERY 2021; 8:121-129. [PMID: 34409128 PMCID: PMC8366670 DOI: 10.1080/23320885.2021.1962718] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
A 68 year-old female presents with an ulcerated mass of the 5th digit, with rapid growth during the previous month to surgery. The mass was excised and covered with a 4th dorsal metacarpal artery perforator flap. The histologic analysis was compatible with the diagnosis of fibro-osseous pseudotumor of the digit.
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Affiliation(s)
- J Nunes Pombo
- Plastic, Reconstructive and Aesthetic Surgery, Hospital de Santa Maria (Centro Hospitalar Lisboa Norte), Lisbon, Portugal
| | - A Nixon Martins
- Plastic, Reconstructive and Aesthetic Surgery, Hospital de Santa Maria (Centro Hospitalar Lisboa Norte), Lisbon, Portugal
| | - C Paias Gouveia
- Plastic, Reconstructive and Aesthetic Surgery, Hospital de Santa Maria (Centro Hospitalar Lisboa Norte), Lisbon, Portugal
| | - B Pena
- Anatomic Pathology, Hospital de Santa Maria (Centro Hospitalar Lisboa Norte), Lisbon, Portugal
| | - D López-Presa
- Anatomic Pathology, Hospital de Santa Maria (Centro Hospitalar Lisboa Norte), Lisbon, Portugal
| | - G Ribeiro
- Plastic, Reconstructive and Aesthetic Surgery, Hospital de Santa Maria (Centro Hospitalar Lisboa Norte), Lisbon, Portugal
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Zhou J, McLean C, Keating C, Finkemeyer J, Morsi A. Fibro-Osseous Pseudotumour of the Digit: An Illustrative Case and Review of the Literature. ACTA ACUST UNITED AC 2015; 20:458-62. [PMID: 26388010 DOI: 10.1142/s0218810415720193] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Fibro-osseous pseudotumour is a rare, benign ossifying tumour of soft tissue that should be considered in the differential diagnosis of any tumour affecting the digits. Clinical diagnosis is difficult and fibro-osseous pseudotumour is often mistaken for malignancy, leading to inappropriate treatment. Knowledge of its clinical and histopathological features thus allows for appropriate primary treatment, sparing the patient from unnecessary radical surgery associated with presumed malignancy. We present the case of a 48-year-old male with fibro-osseous pseudotumour affecting the right ring finger, successfully treated with local excision. This is the second reported Australian case of fibro-osseous pseudotumour, and we present an extensive review of the literature relating to the diagnosis and management of this rare tumour.
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Affiliation(s)
- Jieyun Zhou
- * Plastic and Reconstructive Surgery Unit, Western Health, Australia
| | - Catriona McLean
- † Head of Unit, Department of Anatomical Pathology, Alfred Health, Australia
| | - Cameron Keating
- * Plastic and Reconstructive Surgery Unit, Western Health, Australia
| | - James Finkemeyer
- * Plastic and Reconstructive Surgery Unit, Western Health, Australia
| | - Adel Morsi
- * Plastic and Reconstructive Surgery Unit, Western Health, Australia.,‡ Plastic, Hand and Faciomaxillary Surgery Unit, Alfred Health, Melbourne, Australia
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Imaging findings of an extradigital fibro-osseous pseudotumor. Jpn J Radiol 2014; 32:613-7. [DOI: 10.1007/s11604-014-0341-x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2014] [Accepted: 06/05/2014] [Indexed: 12/27/2022]
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Vanhoenacker FM, Eyselbergs M, Van Hul E, Van Dyck P, De Schepper AM. Pseudotumoural soft tissue lesions of the hand and wrist: a pictorial review. Insights Imaging 2011; 2:319-333. [PMID: 22347956 PMCID: PMC3259322 DOI: 10.1007/s13244-011-0076-5] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2010] [Revised: 11/27/2010] [Accepted: 01/27/2011] [Indexed: 12/26/2022] Open
Abstract
Mimickers of soft tissue tumours in the hand and wrist are more frequent than true neoplastic lesions. Pseudotumours belong to a large and heterogeneous group of disorders, varying from normal anatomical variants, cystic lesions, post-traumatic lesions, skin lesions, inflammatory and infectious lesions, non-neoplastic vascular lesions, metabolic disorders (crystal deposition disease and amyloidosis) and miscellaneous disorders. Although the imaging approach to pseudotumoural lesions is often very similar to the approach to “true” soft tissue tumoral counterparts, further management of these lesions is different. Biopsy should be performed only in doubtful cases, when the diagnosis is unclear. Therefore, the radiologist plays a pivotal role in the diagnosis of these lesions. Awareness of the normal anatomy and existence and common imaging presentation of these diseases, in combination with relevant clinical findings (clinical history, age, location and skin changes), enables the radiologist to make the correct diagnosis in most cases, thereby limiting the need for invasive procedures.
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Affiliation(s)
- Filip M. Vanhoenacker
- Department of Radiology, AZ Sint-Maarten, Duffel-Mechelen, Rooienberg, 25, B-2570 Duffel, Belgium
- Department of Radiology, Antwerp University Hospital UZA, University of Antwerp UA, Wilrijkstraat, 10, 2650 Edegem, Belgium
| | - Michiel Eyselbergs
- Department of Radiology, AZ Sint-Maarten, Duffel-Mechelen, Rooienberg, 25, B-2570 Duffel, Belgium
- Department of Radiology, Antwerp University Hospital UZA, University of Antwerp UA, Wilrijkstraat, 10, 2650 Edegem, Belgium
| | - Erik Van Hul
- Department of Radiology, Antwerp University Hospital UZA, University of Antwerp UA, Wilrijkstraat, 10, 2650 Edegem, Belgium
| | - Pieter Van Dyck
- Department of Radiology, Antwerp University Hospital UZA, University of Antwerp UA, Wilrijkstraat, 10, 2650 Edegem, Belgium
| | - Arthur M. De Schepper
- Department of Radiology, Antwerp University Hospital UZA, University of Antwerp UA, Wilrijkstraat, 10, 2650 Edegem, Belgium
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