Döhler J R, Helbig B
Z Orthop Ihre Grenzgeb. 1985 Jan-Feb;123(1):76-8. doi: 10.1055/s-2008-1045113.
Although nodular fasciitis is one of the most common of the fibroproliferative conditions, it has not been widely reported. As it is a reactive and selflimiting process, it can be dealt with effectively by surgical excision and recurrences are rare. Histological differentiation from sarcomas is still proved to be difficult and hence there is the risk that inappropriate treatment may be recommended. This case report deals with the onset and natural history of nodular fasciitis in the upper arm of a keen marksman. When instructing children in the use of a shotgun, he was in the habit of placing the shorter shaft of these weapons against the upper third of his arm instead of the shoulder. Here he developed a tender swelling which showed increased up-take in a scintigram. One year after exstirpation the patient reported pain relief, a recurrence has not been observed so far.
尽管结节性筋膜炎是最常见的纤维增生性疾病之一，但相关报道并不广泛。由于它是一个反应性且自限性的过程，通过手术切除可有效处理，且复发罕见。与肉瘤进行组织学鉴别仍被证明很困难，因此存在推荐不恰当治疗的风险。本病例报告讲述了一名神枪手上臂结节性筋膜炎的发病情况及自然病程。在指导儿童使用猎枪时，他习惯将这些武器较短的枪身靠在上臂上三分之一处而非肩部。在此处他出现了一个压痛性肿胀，闪烁扫描显示摄取增加。切除术后一年患者报告疼痛缓解，目前未观察到复发情况。
