Rozen W M, Galloway S, Salinas C, Allen P, Schlicht S, Mann G B
Department of Surgery, The Royal Melbourne Hospital, University of Melbourne, Grattan Street, Parkville, Victoria 3050, Australia.
J Clin Neurosci. 2007 Apr;14(4):391-4. doi: 10.1016/j.jocn.2006.01.009. Epub 2007 Jan 19.
A soft tissue mass with an associated neuropathy suggests a malignancy with nerve compression or infiltration. However, there are benign diagnoses to consider. We report a case of an axillary mass with a radial nerve neuropathy, initially suspected to be a soft tissue sarcoma. The final diagnosis was fasciitis ossificans. This is the first such reported case. The presence of severe pain and tenderness suggested an inflammatory process. Fasciitis ossificans is a rare form of heterotopic bone formation, commonly presenting with signs of local inflammation or pain.
伴有相关神经病变的软组织肿块提示存在伴有神经受压或浸润的恶性肿瘤。然而,也有一些良性诊断需要考虑。我们报告一例伴有桡神经病变的腋窝肿块病例,最初怀疑为软组织肉瘤。最终诊断为骨化性筋膜炎。这是首例此类报告病例。严重疼痛和压痛的存在提示有炎症过程。骨化性筋膜炎是一种罕见的异位骨形成形式,通常表现为局部炎症或疼痛症状。