Department of Orthopaedics, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Dusit, Bangkok, Thailand.
Department of Orthopaedic Surgery, Nara Medical University, Kashihara, Nara, Japan.
JBJS Case Connect. 2024 Aug 8;14(3). doi: e24.00176. eCollection 2024 Jul 1.
We report a case of intraneural nodular fasciitis in the forearm initially suspected as a schwannoma, emphasizing the importance of accurate diagnosis. A 40-year-old woman presented with mass on the lateral aspect of her right forearm and radial neuropathy symptoms for 2 months. An excisional biopsy and histopathological examination confirmed nodular fasciitis. Postoperative evaluation at 4.5 years found no pain, paralysis, or recurrence.
Awareness of nodular fasciitis is crucial to prevent misdiagnosis and unnecessary treatment. Despite its rapid growth, nodular fasciitis generally has an excellent prognosis without long-term consequences.
我们报告一例前臂神经内结节性筋膜炎病例，最初疑似神经鞘瘤，强调准确诊断的重要性。一位 40 岁女性，右侧前臂外侧肿块伴桡神经症状 2 个月。切除活检和组织病理学检查证实为结节性筋膜炎。术后 4.5 年评估未见疼痛、瘫痪或复发。
了解结节性筋膜炎对于避免误诊和不必要的治疗至关重要。尽管结节性筋膜炎生长迅速，但通常预后良好，无长期后果。
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