Sanmiguel Javier, Diaz Pablo Santiago, Marsico Salvatore, Lloreta Trull José, Solano López Alberto
Department of Radiology, Hospital Universitario Lucus Augusti. Rúa Dr. Ulises Romero, 1, 27003 Lugo, España.
Department of Pathological Anatomy, Hospital del Mar, Passeig Marítim de la Barceloneta, 25, 29, 08003 Barcelona, España.
Radiol Case Rep. 2022 Mar 2;17(5):1424-1430. doi: 10.1016/j.radcr.2022.02.001. eCollection 2022 May.
Calcifying aponeurotic fibromas (CAFs) are rare benign tumors that typically develop in the soft tissue of the extremities. We report a case of 64-year-old woman with a CAF in the soft tissue surrounding her left clavicle. A plain radiograph showed an asymmetrical increase in opacity of the left internal clavicular region. Computed tomography and magnetic resonance imaging confirmed the presence of a heterogeneous lesion of the periclavicular soft tissue, with peripheral calcifications, and remodeling of the adjacent clavicular bone. Following ultrasound-guided biopsy and surgical resection of the mass, the final histological diagnosis was made. To the best of our knowledge, this is the first case of a CAF described in the soft tissue adjacent to the clavicle. It is essential to use all the diagnostic methods available (X-ray, ultrasound, CT, MRI, and percutaneous biopsy) to obtain the final diagnosis of this rare disease.
钙化性腱膜纤维瘤（CAFs）是一种罕见的良性肿瘤，通常发生于四肢软组织。我们报告一例64岁女性，其左锁骨周围软组织患有钙化性腱膜纤维瘤。X线平片显示左锁骨内侧区域密度不对称增加。计算机断层扫描和磁共振成像证实锁骨周围软组织存在异质性病变，伴有周边钙化，以及相邻锁骨骨质重塑。在超声引导下对肿块进行活检并手术切除后，做出了最终的组织学诊断。据我们所知，这是第一例描述于锁骨旁软组织的钙化性腱膜纤维瘤病例。使用所有可用的诊断方法（X线、超声、CT、MRI和经皮活检）对于获得这种罕见疾病的最终诊断至关重要。
