We report a case of hand soft tissue tumor-proliferative fasciitis (PF)-in a 12-year-old patient that presented as a painful lump causing trigger finger. After meticulous diagnostic workup, a surgical excision led to immediate amelioration of symptoms. PF is a rare benign pseudosarcomatous lesion arising typically in the subcutaneous tissue and fascia in adults. It is very uncommon in the hand. To the best of our knowledge, this is the first report of a trigger finger being caused due to this pathology. In this report, the authors review PF lesions on hands, advice careful evaluation of magnetic resonance imaging features, and recommend surgical management.
___
1. Goldblum JR, Weiss SW, Flope AL. Proliferative fasciitis. In: Enzinger and Weisss Soft Tissue Tumors. Philadelphia, Elsevier Saunders; 2008: 190-2.
2. Fletcher CDM, Bridge JA, Hogendoorn PCW, Mertens F. Proliferative fasciitis and proliferative myositis. In: World Health Organization Classification of Tumours. Soft Tissue and Bone. Lyon, IARC Press; 2013: 48-9.
3. Kato K, Ehara S, Nishida J, Satoh T. Rapid involution of proliferative fasciitis. Skeletal Radiol 2004; 33: 300-2. [Crossref] 4. Chung EB, Enzinger FM. Proliferative fasciitis. Cancer 1975; 36: 1450-8.
5. Lorenc ZP, Brourman S, Imbriglia JE. Proliferative fasciitis of the hand in a child. J Hand Surg Am 1987; 12: 1066-70. [Crossref]
6. Richards RH, Evans G, Fitzgerald JA, Millward-Sadler GH. Proliferative fasciitis of a finger: a case report. J Hand Surg Br 1990; 15: 501-2. [Crossref]
7. Park JH, Kang MS, Hwang SE, Lee SS, Park SW. A case of proliferative fasciitis in the finger. Ann Dermatol 2007; 19: 25-7. [Crossref]
8. Satter EK, Dela Rosa KM. Intradermal proliferative fasciitis on the finger. Am J Dermatopathol 2015; 37: 246-8. [Crossref]
9. Sfoungaris D, Mouravas V, Kepertis C, Lambropoulos V, Spyridakis I. Proliferative fasciitis in childhood: A review of clinical data apropos of a case. J Clin Diagn Res 2017; 11: 8-10. [Crossref]
10. Maeda M, Matsumine A, Kato H, et al. Soft-tissue tumors evaluated by line-scan diffusion-weighted imaging: Influence of myxoid matrix on the apparent diffusion coefficient. J Magn Reson Imaging 2007; 25: 1199-204. [Crossref]
11. Ingari JV, Faillace JJ. Benign tumors of fibrous tissue and adipose tissue in the hand. Hand Clin 2004; 20: 243-8. [Crossref]
12. Sookur PA, Saifuddin A. Indeterminate soft-tissue tumors of the hand and wrist: a review based on a clinical series of 39 cases. Skeletal Radiol 2011; 40: 977-89. [Crossref]
13. Meis JM, Enzinger FM. Proliferative fasciitis and myositis of childhood. Am J Surg Pathol 1992; 16: 364-72. [Crossref]