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Radiological Case of the Month

Radiological Case of the Month Abstract This 5-year-old girl was referred to an orthopedic surgeon because of pain in her left wrist for a period of weeks. Three months previously, she had hurt the dorsum of her left hand and wrist in a fall. The lateral aspect of the dorsum of the hand was swollen. A roentgenogram of the left hand was obtained (Fig 1 and 2). A chest roentgenogram was normal. Skin tests for microbacterial and fungal causes were negative. A complete blood cell count was normal. The carpal lesion underwent biopsy and was partially resected. Denouement and Discussion Juvenile Aponeurotic Fibroma Microscopie examination of sections of the lesion (Fig 3 and 4) showed degenerating focally hyalinized fibrocartilagenous tissue and fragments of proliferating fibroblastic cells arranged in nodules, palisading or intertwining tangles of eosinophilic spindle-shaped cells. Nuclei were oval or spindle shaped, moderately hyperchromatic, and uniform in size. Several islands of cartilagenous metaplasia with focal calcification were present References 1. Cavanagh RC: Tumors of the soft tissues of the extremities . Semin Roentgenol 8:73-89, 1973.Crossref 2. Keasbey LE: Juvenile aponeurotic fibroma (calcifying fibroma): Distinctive tumor arising in the palms and soles of young children . Cancer 6:338-346, 1953.Crossref 3. Keasbey LE, Fansleau HA: The aponeurotic fibroma . Clin Orthop 19:115-131, 1961. 4. Allen PW, Enzinger FM: Juvenile aponeurotic fibroma . Cancer 26:857-867, 1970.Crossref 5. Keller RB, Baez-Giangreco A: Juvenile aponeurotic fibroma . Clin Orthop 106:198-205, 1975.Crossref 6. Karasick D, O'Hara AE: Juvenile aponeurotic fibroma . Radiology 123:725-726, 1977. 7. Goldman RL: The cartilage analogue of fibromatosis (aponeurotic fibroma) . Cancer 26:1325-1331, 1970.Crossref 8. Lichtenstein L, Goldman RL: The cartilage analogue of fibromatosis: A reinterpretation of the condition called "juvenile aponeurotic fibroma." Cancer 17:810-816, 1964.Crossref 9. Stout AP, Lattes R: Benign tumors and tumor-like proliferations , in Firminger HI (ed): Tumors of the Soft Tissues . Atlas of Tumor Pathology, Armed Forces Institute of Pathology, 1967, series 2, pp 22-23. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1980 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1980.02130140069018
Publisher site
See Article on Publisher Site

Abstract

Abstract This 5-year-old girl was referred to an orthopedic surgeon because of pain in her left wrist for a period of weeks. Three months previously, she had hurt the dorsum of her left hand and wrist in a fall. The lateral aspect of the dorsum of the hand was swollen. A roentgenogram of the left hand was obtained (Fig 1 and 2). A chest roentgenogram was normal. Skin tests for microbacterial and fungal causes were negative. A complete blood cell count was normal. The carpal lesion underwent biopsy and was partially resected. Denouement and Discussion Juvenile Aponeurotic Fibroma Microscopie examination of sections of the lesion (Fig 3 and 4) showed degenerating focally hyalinized fibrocartilagenous tissue and fragments of proliferating fibroblastic cells arranged in nodules, palisading or intertwining tangles of eosinophilic spindle-shaped cells. Nuclei were oval or spindle shaped, moderately hyperchromatic, and uniform in size. Several islands of cartilagenous metaplasia with focal calcification were present References 1. Cavanagh RC: Tumors of the soft tissues of the extremities . Semin Roentgenol 8:73-89, 1973.Crossref 2. Keasbey LE: Juvenile aponeurotic fibroma (calcifying fibroma): Distinctive tumor arising in the palms and soles of young children . Cancer 6:338-346, 1953.Crossref 3. Keasbey LE, Fansleau HA: The aponeurotic fibroma . Clin Orthop 19:115-131, 1961. 4. Allen PW, Enzinger FM: Juvenile aponeurotic fibroma . Cancer 26:857-867, 1970.Crossref 5. Keller RB, Baez-Giangreco A: Juvenile aponeurotic fibroma . Clin Orthop 106:198-205, 1975.Crossref 6. Karasick D, O'Hara AE: Juvenile aponeurotic fibroma . Radiology 123:725-726, 1977. 7. Goldman RL: The cartilage analogue of fibromatosis (aponeurotic fibroma) . Cancer 26:1325-1331, 1970.Crossref 8. Lichtenstein L, Goldman RL: The cartilage analogue of fibromatosis: A reinterpretation of the condition called "juvenile aponeurotic fibroma." Cancer 17:810-816, 1964.Crossref 9. Stout AP, Lattes R: Benign tumors and tumor-like proliferations , in Firminger HI (ed): Tumors of the Soft Tissues . Atlas of Tumor Pathology, Armed Forces Institute of Pathology, 1967, series 2, pp 22-23.

Journal

American Journal of Diseases of ChildrenAmerican Medical Association

Published: Feb 1, 1980

References

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