Calcifying Aponeurotic Fibroma in Dangerous Zone of Hand in Young Child

Hong,  Seok Won; Choi,  Hwan Jun; Kim,  Jun Hyuk; Lee,  Da Woon

doi:2019.24.3.248

Arch Hand Microsurg > Volume 24(3); 2019 > Article

Case Report

Archives of Hand and Microsurgery 2019;24(3):248-253.
Published online September 1, 2019.
DOI: https://doi.org/10.12790/ahm.2019.24.3.248

Calcifying Aponeurotic Fibroma in Dangerous Zone of Hand in Young Child

Seok Won Hong¹, Hwan Jun Choi^1,2, Jun Hyuk Kim¹, Da Woon Lee¹

¹Department of Plastic and Reconstructive Surgery, Soonchunhyang University College of Medicine, Cheonan, Korea. iprskorea@gmail.com
²Institute of Tissue Regeneration, Soonchunhyang University, Cheonan, Korea.

Received: 27 April 2019 • Revised: 9 July 2019 • Accepted: 10 July 2019

Abstract

Pediatric hand masses are often seen in outpatient department of the hospital. There are kinds of masses that can occur and it is important to discriminate between malignant and benign, since the treatment may be different. Calcifying aponeurotic fibroma (CAF) is a rare benign soft tissue in children and adolescents. It primarily occurs on the distal portion of the extremities, typically fingers, palms of the hands and plantar aspects of the feet. The recommended treatment of CAF is conservative local excision. Considering its benign characteristics and the rare metastasis, a strong and enough efforts should be made, whenever possible, to preserve the function of involved extremities, especially in child. In our report, we present a case of a 4-year-old girl with a CAF found near the course of motor branch of ulnar nerve at the palm and being performed surgical removal successfully with preserving the nerves.

Key Words: Hand, Pediatrics, Neoplasms