These dome-shaped nodules involve the extensor surfaces of the distal or middle phalanges of the fingers (more common) and toes. They have a preference for the ulnar-sided and lateral digits in the hand and foot, respectively. The majority are diagnosed in the first year of life (about 1/3 are congenital).
There may be a nonspecific soft-tissue mass on radiographs. US, CT, and MRI of inclusion body fibromatosis is also nonspecific: a heterogeneous, poorly marginated, subcutaneous soft-tissue mass similar to other superficial fibromatoses.
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