肩部大结节性筋膜炎表现为软组织肉瘤：病例报告。

Q4 Medicine JBJS case connector Pub Date : 2024-09-06 eCollection Date: 2024-07-01 DOI:10.2106/JBJS.CC.24.00250

Julien Montreuil, Dominic Campano, Diego Montoya-Cerrillo, Ty Subhawong, Erik J Geiger, Andrew E Rosenberg, Thomas H Temple

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引用次数: 0

摘要

病例：本病例报告描述了一名肩部软组织肉瘤患者的临床和影像学特征。尽管肿块无痛且相对较大，但活检和切除后却发现了结节性筋膜炎（NF）：结论：这是一个不寻常的病例，患者上肢有一个 10 厘米的无痛性肿块，组织病理学诊断为结节性筋膜炎，肿块靠近腋神经和肱骨后绕血管。USP6 重排有助于确诊。在诊断这些相对罕见的肿瘤时，有必要仔细进行临床、放射学和病理学相关性分析。在发现不一致的病例中，分子标记物可能非常有用。

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Large Nodular Fasciitis of the Shoulder Presenting as Soft Tissue Sarcoma: A Case Report.

Case: This case report describes a patient who presented with clinical and radiographic features of a soft tissue sarcoma of the shoulder. Despite having a painless and relatively large mass, a biopsy and resection revealed nodular fasciitis (NF).

Conclusion: This is an unusual case of a painless 10 cm mass that histopathologically was diagnosed as NF in the upper extremity with proximity to the axillary nerve and posterior humeral circumflex vessels. The USP6 rearrangement was helpful in confirming the diagnosis. Careful clinical, radiographic, and pathologic correlation is necessary in diagnosing these relatively rare tumors. In cases where there are discordant findings, molecular markers can be very helpful.

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来源期刊

JBJS case connector Medicine-Medicine (all)

CiteScore

0.60

自引率

0.00%

发文量

319

期刊介绍： JBJS Case Connector helps improve patient care by providing the medical community with a journal that harnesses technology to provide information tools for discovery and reporting of unusual musculoskeletal problems, findings, treatment, and outcomes. Co-edited by Thomas W. Bauer, MD, PhD, and Ronald W. Lindsey, MD, JBJS Case Connector assists orthopaedic surgeons in the search for precedents, connections, and trends in their efforts to improve patient care. Using this unique journal, surgeons can find the commonalities between cases, benefit from the experience of their peers, and filter case information by many important variables in order to provide the best possible care for orthopaedic patients. This cross-referenced online journal includes thousands of orthopaedic case reports. It compiles symptoms, conditions, and demographic details to empower surgeons to find cases similar to theirs. Surgeons can mine the database to reveal emerging trends and identify patterns, distinguishing between truly rare cases and repeated, related single instances of a larger problem. The JBJS Case Connector Image Quiz feature provides interactive quizzes based on images from content published by JBJS and includes a discussion area for further exploration of ideas and concepts. The JBJS Image Quiz app for iPad and iPhone is available in the App Store. Contributions to JBJS Case Connector are welcomed from anywhere in the world and are considered on their merits. Articles must be written in English and should be submitted as outlined in the Instructions to Authors. All authors must abide by the JBJS ethics policies and all submissions to JBJS Case Connector are covered by the JBJS embargo policy.