Skip to main content
Log in

Fibro-osseous pseudotumor of the hand: a case report of a 22-year-old young woman

  • Case Report
  • Published:
European Journal of Plastic Surgery Aims and scope Submit manuscript


We present a case of a 22-year-old patient with an important expansive neoformation of the soft tissues near the proximal phalanx of the fourth finger of the right hand. There was no evidence of past direct traumas, wounds, or local infections. The Rx, CT scan and MRI exams showed a lesion of the soft tissues measured around 3 × 2 × 2.8 cm, without hinting at a connection with the bone structure with a hypointense signal in T1 and an isointense signal in T2. First diagnostic speculations pointed at a giant cell tumor of the tendon sheath (GCTTS). Since there seemed to be no indication of a malignant tumor, it was decided to execute an excisional biopsy on the patient, rather than an eco-guided core needle. The imaging studies of the histological characteristics showed spindle-shaped elements with low-grade atypia, fibromyxoid and osseous stroma in different maturity stages, and always delimited by osteoblast cells. Osteoclastic giant cells were also found, as well as foci of osseous metaplasia peripherally aligned around proliferating cell aggregates. Considering all the following data, the final diagnosis clearly indicated a fibro-osseous pseudotumor of digits (FOPD). At the last checkup after 6 months, the wound healed correctly and without any restriction in finger movement.

Level of evidence: Level V, diagnostic study.

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

Access this article

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

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

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

Similar content being viewed by others


  1. Sakuda T, Kubo T, Shinomiya R, Furuta T, Adachi N (2020) Rapidly growing fibro-osseous pseudotumor of the digit: a case report. Medicine (Baltimore) 99:e21116

    Article  Google Scholar 

  2. Rosenberg AE (2008) Pseudosarcomas of soft tissue. Arch Pathol Lab Med 132:579–586

    Article  Google Scholar 

  3. Nishio J, Iwasaki H, Soejima O, Naito M, Kikuchi M (2002) Rapidly growing fibro-osseous pseudotumor of the digits mimicking extraskeletal osteosarcoma. J Orthop Sci 7:410–413

    Article  Google Scholar 

  4. Joseph J, Ritchie D, MacDuff E, Mahendra A (2011) Bizarre parostealosteochondromatous proliferation: A locally aggressive benign tumor. Clin Orthop Relat Res 469:2019–2027

    Article  Google Scholar 

  5. Kontogeorgakos VA, Papachristou DJ, Varitimidis S (2016) Fibro-osseous pseudotumor of the hand. J hand Surg Asian-Pacific 21:269–272

    Article  Google Scholar 

  6. Jawadi T et al (2018) Fibro-osseous pseudotumor of the digit: case report and surgical experience with extensive digital lesion abutting on neurovascular bundles. Ann Med Surg 35:158–162

    Article  Google Scholar 

  7. Sleater J, Mullins D, Chun K, Hendricks J (1996) Fibro-osseous pseudotumor of the digit: a comparison to myositis ossificans by light microscopy and immunohistochemical methods. J CutanPathol 23:373–377

    CAS  Google Scholar 

  8. De Silva MVC, Reid R (2003) Myositis ossificans and fibroosseouspseudotumor of digits: a clinicopathological review of 64 cases with emphasis on diagnostic pitfalls. Int J Surg Pathol 11:187–195

    Article  Google Scholar 

  9. Moosavi CA, Al-Nahar LA, Murphey MD, Fanburg-Smith JC (2008) Fibrosseouspseudotumor of the digit: a clinicopathologic study of 43 new cases. Ann Diagn Pathol 12:21–28

    Article  Google Scholar 

  10. Chaudhry IH et al (2010) Fibro-osseous pseudotumor of the digit: a clinicopathological study of 17 cases. J Cutan Pathol 37:323–329

    Article  Google Scholar 

Download references


We thanks Giulia Zoggia for the English correction of the article.

Author information

Authors and Affiliations



Dr. Tuzzato Gianmarco, Dr. Tosi Daniele, and Dr. Vita Fabio researched literature and conceived the study. Dr. Tuzzato Gianmarco wrote the first draft of the manuscript. Dr. Giuseppe Bianchi and Dr. Roberto Adani reviewed and edited the manuscript and approved the final version of the manuscript.

Corresponding author

Correspondence to Fabio Vita.

Ethics declarations

Ethical approval

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki. Declaration of 1975, as revised in 2008. Statement of human rights approval was obtained from the institutional review board regarding procedures to ensure protection of human rights and informed consent.

Informed consent

Written informed consent was obtained from the patient included in this study.

Conflict of interest

Tuzzato Gianmarco, Vita Fabio, Bianchi Giuseppe, Daniele Tosi, and Adani Roberto declare no competing interests.

Patient consent

Patient signed informed consent regarding publishing her data and photographs.

Additional information

Publisher's note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Tuzzato, G., Vita, F., Bianchi, G. et al. Fibro-osseous pseudotumor of the hand: a case report of a 22-year-old young woman. Eur J Plast Surg 45, 203–207 (2022).

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: