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Calcifying aponeurotic fibroma.

D Y Yee1, R C Mott, B P Nixon

  • 1Veterans Administration Medical Center, Tucson, Arizona.

The Journal of Foot Surgery
|May 1, 1991
PubMed
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Calcifying aponeurotic fibroma is a rare benign tumor in children, often misdiagnosed due to its aggressive appearance. Early diagnosis is key to prevent unnecessary amputation.

Area of Science:

  • Oncology
  • Pediatric Pathology
  • Skeletal Biology

Background:

  • Calcifying aponeurotic fibroma (CAF) is a rare soft tissue neoplasm.
  • It predominantly affects pediatric males, typically on the palms and soles.
  • Distinguishing CAF from malignant tumors is crucial for appropriate management.

Observation:

  • Microscopic analysis reveals atypical fibroblasts, calcification foci, and chondroid differentiation.
  • The tumor exhibits a highly cellular structure and locally aggressive growth.
  • Recurrence is a common characteristic of this benign neoplasm.

Findings:

  • This review synthesizes literature on calcifying aponeurotic fibroma.
  • A unique case of CAF involving the foot digits is presented.

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  • Histopathological features include atypical fibroblasts, calcifications, and chondroid areas.

    • Implications:

    • Misdiagnosis as fibrosarcoma can lead to aggressive treatment, including amputation.
    • Accurate diagnosis of CAF is essential to avoid overtreatment.
    • Understanding CAF's behavior aids in surgical planning and prognosis.