A RARE CASE OF NODULAR FASCIITIS OF HAND â€“ CASE STUDY AND REVIEW OF LITERATURE

KRISHNA PRASAD K; KARTHIK HAREEN TVK; PRAVEEN GP; AMAL ABRAHAM

Volume : V, Issue : VII, July - 2016

A RARE CASE OF NODULAR FASCIITIS OF HAND â€“ CASE STUDY AND REVIEW OF LITERATURE

Krishna Prasad K, Karthik Hareen Tvk, Praveen Gp, Amal Abraham

Abstract :

Introduction: Nodular fasciitis is a rapidly growing benign, self–limiting, reactive lesion, which due to clinical findings and pathologic appearance can be mistaken for a soft tissue sarcoma. Although nodular fasciitis can occur virtually anywhere in the body, it is commonly found in the volar aspect of the forearm, next in frequency is the chest wall and back, followed by the neck and head. This disorder is extremely rare in the hand. A large series of nodular fasciitis showed only 0%–2% of occurrences in the hand. Case report: A 35 year old male patient presented with complaints of swelling in the left palm since 6 weeks. Swelling was initially of the size of 1x1 cm and has progressed to the current size of 3x2 cm and was associated with pain. There was no history of any trauma or similar complaints in the past. On physical examination, a painful mass measuring 3x2 cm in diameter was observed in the left palm below the index and the middle fingers. The swelling was non–mobile, firm in consistency and non–tender upon palpation with a smooth surface and clear margins. Excision was done and specimen was sent for histo–pathological examination. Histo–pathological report showed features of Nodular Fasciitis. Post–operative period was uneventful. Conclusion: Nodular fasciitis is a self–limiting benign reactive fioblastic growth and often mistaken for malignant neoplasm with its features of rapid growth and histological appearance. This is a rare benign condition for which treatment is limited to surgical excision. This is generally curative and relapses are rare.