Article: Fibro-osseous pseudotumour of the digit-a diagnostic challenge.
Journal of surgical case reports
2020 Volume 2020, Issue 5, Page(s) rjaa125
Abstract: A 60-year-old right-hand dominant woman presented to the emergency department with a 3-week history of pain and swelling in her right thumb. The X-ray showed evidence of erosion at the tip of the distal phalanx. Her initial management included surgical ... ...
Abstract | A 60-year-old right-hand dominant woman presented to the emergency department with a 3-week history of pain and swelling in her right thumb. The X-ray showed evidence of erosion at the tip of the distal phalanx. Her initial management included surgical debridement with bone biopsies and intravenous antibiotics. The initial working diagnosis was a soft tissue infection of the thumb tip, causing osteomyelitis of the distal phalanx. The X-ray findings also raised the suspicion of a possible bone tumour. She was treated as having osteomyelitis and attended ambulatory care for daily intravenous antibiotics for 2 weeks. Initial histology was reported as a spindle cell tumour; however, following discussion at the sarcoma MDT, a diagnosis of a fibro-osseous pseudotumour of the digit was made. This is a benign lesion that was managed non-operatively in this patient. This case emphasises the importance of considering all differential diagnoses, even in a common presentation. |
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Language | English |
Publishing date | 2020-06-01 |
Publishing country | England |
Document type | Case Reports |
ISSN | 2042-8812 |
ISSN | 2042-8812 |
DOI | 10.1093/jscr/rjaa125 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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