Ischemic fasciitis in a mobile elderly patient: A case report

被引:0
|
作者
Matsunaga, Ayano [1 ]
Sasaki, Yae [2 ]
Ogata, Sho [1 ,3 ]
Kariya, Shogo [4 ]
Susa, Michiro [5 ]
Matsukuma, Susumu [1 ,3 ]
机构
[1] Natl Def Med Coll, Dept Pathol & Lab Med, Tokorozawa, Saitama 3598513, Japan
[2] Japan Maritime Self Def Force, Med Planning Off, Maritime Staff Off, Tokyo 1628803, Japan
[3] Natl Def Med Coll Hosp, Dept Lab Med, Tokorozawa, Saitama 3598513, Japan
[4] Japan Ground Self Def Sapporo Hosp, Dept Orthoped Surg, Sapporo, Hokkaido 0050008, Japan
[5] Natl Def Med Coll, Dept Orthoped Surg, Tokorozawa, Saitama 3598513, Japan
关键词
degeneration; fasciitis; ischemia; pseudosarcomatous lesion; soft tissue; ATYPICAL DECUBITAL FIBROPLASIA;
D O I
10.3892/etm.2024.12724
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Ischemic fasciitis (IF) is a rare pseudosarcomatous lesion usually occurring in physically debilitated or immobilized, elderly patients. The current case presents a 76-year-old mobile man with IF on his back. The 33-mm subcutaneous lesion, focally involving the latissimus dorsi muscle, had been slowly increasing in size for 2 months and was clinically suggested to be a soft-tissue sarcoma. The fragmented biopsy specimens showed a chiefly scattered proliferation of spindle or stellate cells with plump nuclei within myxofibrous stroma. Zonation was not evident, but the lesion contained fibrinous deposits. These findings indicated a possible diagnosis of IF. The lesion spontaneously disappeared 5 months after the biopsy. The presence of fibrin-like deposits within myxofibrous stroma could be a hallmark for the correct diagnosis of IF.
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页数:4
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