Learning objectives
1.
To review the classification,
clinical manifestations and imaging features of fibromatosis.
2.
To illustrate the imaging findings with pathologic correlation.
Background
The musculoskeletal fibromatosis comprise a wide range of lesions with a common histopathologic appearance.
The can be divided into two major groups: superficial and deep.
The superficial fibromatosis are typically small,
slow- growing lesions and include palmar fibromatosis,
plantar fibromatisis,
juvenile aponeurotic fibroma,
and infantile digital fibroma.
The deep fibromatosis are commonly large,
may grow rapidly,
and are more aggressive.
They include infantile myofibromatosis,
fibromatosis colli,
extra-abdominal desmoid tumo,
and aggressive infantile fibromatosis.
Advanced imaging (ultrasonography,
computed tomography,
and magnetic resonance imaging) demonstrates lesion extent....
Findings and procedure details
INTRODUTION
Fibromatosis is a rare mesenchymal tumor characterized histologically by proliferation of fibroblasts and myofibroblasts with marked production of intercellular collagen.
It comprises a broad group of fibrous tissue proliferations of similar histologic appearance that has biologic behavior intermediate between that of benign fibrous lesions and fibrosarcoma.
Fibromatosis was first described more than 150 years ago by McFarlane.
Because of its rarity,
most published series describe only small numbers of patients.
The incidence is estimated to be between three or four cases per million per...
Conclusion
Fibromatoses comprise a large spectrum of lesions and radiologists play an important role in the diagnsosis and may help guide the often difficult therapy and management of these lesions.
We hope that the information provided in this exhibit will be useful for the readers.
Personal information
AUTHORS
ADONIS MANZELLA,
MD,MSc
MARIANA VASCONCELOS,
MD
STERFFERSON MORAIS,
MD
DIEGO SOUZA,
MD
ERICK CAVALCANTE,
MD
MILENA ALMEIDA,
MD
CRISTINE ZELAQUETT DE SOUZA,
MD
EOLO ALBUQUERQUE,
MD
MARCELO SOUZA,
MD
References
Robbin MR,
Murphey MR,
Temple TH at al.
Imaging of Musculoskeletal Fibromatosis.
RadioGraphics 2001; 21:585-600
Lee JC,
Thomas JM,
Phillips S et al.
Aggressive Fibromatosis: MRI Features with Pathologic Correlation.
AJR 2006; 186(1): 247 - 254.
Mitchell G,
Thomas JM,
Harmer CL.
Aggressive fibromatosis: evidence for a stable phase.
Sarcoma.
1998; 2: 149-154.
Francis IR,
Dorovini-Zis K,
Glazer GM et al.
The fibromatoses: CT-pathologic correlation.
AJR.1986; 147:1063-1066.
Owens CL,
Sharma R,
Ali SZ.
Deep fibromatosis (desmoid tumor)- Cytopathologic characteristics,
clinicoradiologic features,
and immunohistochemical findings on...