Mesh : Humans Female Adult Fasciitis / surgery pathology diagnostic imaging Radial Neuropathy / etiology surgery Radial Nerve / pathology Magnetic Resonance Imaging Forearm / surgery pathology

来  源:   DOI:10.2106/JBJS.CC.24.00176

Abstract:
METHODS: We report a case of intraneural nodular fasciitis in the forearm initially suspected as a schwannoma, emphasizing the importance of accurate diagnosis. A 40-year-old woman presented with mass on the lateral aspect of her right forearm and radial neuropathy symptoms for 2 months. An excisional biopsy and histopathological examination confirmed nodular fasciitis. Postoperative evaluation at 4.5 years found no pain, paralysis, or recurrence.
CONCLUSIONS: Awareness of nodular fasciitis is crucial to prevent misdiagnosis and unnecessary treatment. Despite its rapid growth, nodular fasciitis generally has an excellent prognosis without long-term consequences.
摘要:
方法:我们报告了一例最初怀疑为神经鞘瘤的前臂神经内结节性筋膜炎,强调准确诊断的重要性。一名40岁的妇女在她的右前臂外侧出现肿块和radial神经病变症状2个月。切除活检和组织病理学检查证实结节性筋膜炎。术后4.5年评估未发现疼痛,瘫痪或复发。
结论:了解结节性筋膜炎对于防止误诊和不必要的治疗至关重要。尽管增长迅速,结节性筋膜炎通常预后良好,无长期后果。
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