Skip to main content
SpringerLink
Log in

Rapid involution of proliferative fasciitis

  • Case Report
  • Published:
Skeletal Radiology Aims and scope Submit manuscript

Abstract

A process of evolution and involution is a characteristic feature of reactive fibrous lesions, but has not been emphasized in either the radiology or pathology literature. We report a case of proliferative fasciitis, pseudotumorous fibrous proliferation similar to nodular fasciitis, showing evolution and involution during a 1-month period. A 35-year-old Japanese woman presented with a tender soft tissue mass in the forearm that had grown over a 2-week period. MR imaging revealed a soft tissue mass of nonspecific signal intensity on the muscle fascia. Needle biopsy revealed diffuse proliferation of fibroblastic spindle cells representing proliferative fasciitis. Two weeks after biopsy the mass had rapidly decreased in size, and the pain subsided. MR imaging obtained 1 month later demonstrated only minimal residual reactive change along the fascia. Conservative treatment may be a reasonable treatment option for this condition.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1A, B
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Ohgi S, Ehara S, Satoh T, Kato S, Shimosegawa K, Ishida Y. Spontaneous regression of malignant lymphoma of the lumbar spine. Skeletal Radiol 2002; 31:99–102.

    Article  PubMed  Google Scholar 

  2. Wong NL. Fine needle aspiration cytology of pseudosarcomatous reactive proliferative lesions of soft tissue. Acta Cytol 2002; 46:1049–1055.

    PubMed  Google Scholar 

  3. Chung EB, Entinger FM. Proliferative fasciitis. Cancer 1975; 36:1450–1458.

    CAS  PubMed  Google Scholar 

  4. Samaratunga H, Searle J, O’Loughlin B. Nodular fasciitis and related pesudosarcomatous lesions of soft tissues. Aust N Z J Surg 1996; 66:22–25.

    CAS  PubMed  Google Scholar 

  5. Kitano M, Iwasaki H, Enjoji M. Proliferative fasciitis: a variant of nodular fasciitis. Acta Pathol Japon 1977; 27:485–493.

    CAS  Google Scholar 

  6. Honda Y, Oh-i T, Koga M, Serizawa H. A case of proliferative fasciitis in the abdominal region. J Dermatol 2001; 28:753–758.

    CAS  PubMed  Google Scholar 

  7. Meyer CA, Kransdorf MJ, Jelinek JS, Moser RP Jr. MR and CT appearance of nodular fasciitis. J Comput Assist Tomogr 1991; 15:276–279.

    CAS  PubMed  Google Scholar 

  8. Wang XL, De Schepper AM, Vanhoennacker F, De Raeve H, Gielen J, Aparisi F, Rausin L, Somville J. Nodular fasciitis: correlation of MRI findings and histopathology. Skeletal Radiol 2002; 31:155–161.

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Radiology, Iwate Medical University School of Medicine, 19-1 Uchimaru, 020-8505, Morioka, Japan

    Kenichi Kato & Shigeru Ehara

  2. Department of Orthopedic Surgery, Iwate Medical University School of Medicine, 020-8505, Morioka, Japan

    Jun Nishida

  3. Department of Pathology II, Iwate Medical University School of Medicine, 020-8505, Morioka, Japan

    Takashi Satoh

Authors
  1. Kenichi Kato
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Shigeru Ehara
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Jun Nishida
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Takashi Satoh
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Kenichi Kato.

Additional information

This paper was presented at the closed meeting of the International Skeletal Society in Geneva, Switzerland, in 2002

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kato, K., Ehara, S., Nishida, J. et al. Rapid involution of proliferative fasciitis. Skeletal Radiol 33, 300–302 (2004). https://doi.org/10.1007/s00256-003-0738-6

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00256-003-0738-6

Keywords

Search

Navigation