Welcome to Francis Academic Press

International Journal of Frontiers in Medicine, 2023, 5(7); doi: 10.25236/IJFM.2023.050708.

Pathological Observation and Literature Clinical Review of Ossifyingfasciitis

Author(s)

Zhou Zhiling

Corresponding Author:
Zhou Zhiling
Affiliation(s)

Department of Pathology, Huangshi Aikang Hospital, Huangshi, 443005, China

Abstract

Objective To investigate the clinicopathological features of ossifyingfasciitis. Methods The clinical, imaging and pathological data of a case of ossifying fasciitis diagnosed in Aikang Pathology Department of Huangshi in June 2023 were collected, and the relevant literature was reviewed. Results A 36-year-old male patient with ossifying fasciitis was located in the elbow of the right upper limb. The lesion was relatively clear and consisted of chaotic proliferation of fibroblasts/myofibroblasts and osteoid tissues with varying degrees of maturity. The fusiform fibroblasts are mild in form and occasionally have mitotic signs, which are morphologically similar to myositis ossificans. Osteoid tissues were of varying maturity and irregular shape. Osteoblasts could be seen around them and were randomly distributed in fibrous tissues in the form of cords. Immunohistochemistry; Vimentin spindle cells (+), SMA (+) and caldesmon (-), desmin (-) and B - catenin (-), S - 100 (-) and CD34 (-). CK (-). Conclusion Fasciitis ossificans is a rare benign lesion, its clinicopathological features are very similar to myositis ossificans, and the prognosis is good after complete resection. No metastasis or malignant transformation has been reported.

Keywords

ossifying fasciitis; Myositis ossificans; Parosteosarcoma

Cite This Paper

Zhou Zhiling. Pathological Observation and Literature Clinical Review of Ossifyingfasciitis. International Journal of Frontiers in Medicine (2023), Vol. 5, Issue 7: 52-56. https://doi.org/10.25236/IJFM.2023.050708.

References

[1] Wang Jian, Zhu Xiongzeng. Soft Tissue Tumor Pathology (2nd Ed.)[M]. Beijing: People's Medical Publishing House, 2017

[2] Švajdler M, Michal M, Martínek P, et al. Fibro-osseous pseudotumor of digits and myositis ossificans show consistent COL1A1-USP6 rearrangement: a clinicopathological and genetic study of 27 cases.[J] Hum Pathol, 2019, 88: 39-47.

[3] Liu Yan-Mei, Zhang Yin-Hua, Zhao Feng, et al. Clinical pathological observation and literature review of 4 cases of nodular fasciitis of breast [J].2017,(9).

[4] Chaudhry IH, Kazakov DV, Michal M, et al. Fibro-osseous pseudotumor of the digit: a clinicopathological study of 17 cases[J]. J Cutan Pathol, 2010, 37(3): 323-329. 

[5] Dupree WB, Enzinger FM. Fibro-osseous pseudotumor of the digits. Cancer[J], 1986, 58(9):2103–2109.

[6] Zhou J, McLean C, Keating C, et al. Fibro-Osseous Pseudotumour of the Digit: An Illustrative Case and Review of the Literature[J]. Hand Surg, 2015, 20(3):458-462.

[7] Huang Jiaying, Xu Gang, Summer. Clinicopathological analysis of 4 cases of active reactive periostitis[J]. Journal of Diagnostic Pathology, 2010, (05) : 28-30+33

[8] Cho YS, Park SY, Choi YW, et al. Fibro-Osseous Pseudotu ossifyingfasciitisr of the Digit Presenting as an Enlarging Erythematous Subungual Nodule[J]. Ann Dermatol, 2017, 29(4): 497-499.

[9] Sun Yang, Yang Xifeng, Gao Zhenhua, et al. Imaging diagnosis of fibroskeletal pseudotumor[J]. Imaging Diagnostic and Interventional Radiology, 2014, 2 (03) : 234-237.

[10] Wang H X, Nie Y H, Lin H Y, et al. Diagnosis and treatment of fibroosseous pseudotumor of finger/toe and its pathological features [J]. Chinese Journal of Hand Surgery, 2019,035 (002) : 143-145.

[11] Erber R, Agaimy A. Misses and near misses in diagnosing nodular fasciitis andossifyingfasciitis rphologically related reactive myofibroblastic proliferations: experience of a referral center with emphasis on frequency of USP6 gene rearrangements [J]. Virchows Arch, 2018, 473(3): 351-360.

[12] Flucke U, Shepard SJ, Bekers EM, et al. Fibro-osseous pseudotu ossifyingfasciitisr of digits— Expanding the spectrum of clonal transient neoplasms harboring USP6 rearrangement. Ann Diagn Pathol [J], 2018, 35: 53-55.

[13] Salib C, Edelman M, Lilly J, et al. USP6 Gene Rearrangement by FISH Analysis in Cranial Fasciitis: A Report of Three Cases [J]. Head Neck Pathol, 2020, 14(1): 257-261.

[14] Bekers EM, Eijkelenboom A, Grünberg K, et al. Myositis ossificans-Another condition with USP6 rearrangement, providing evidence of a relationship with nodular fasciitis and aneurysmal bone cyst [J]. Ann Diagn Pathol, 2018, 34: 56-59.

[15] Oliveira AM, Chou MM. USP6-induced neoplasms: the biologic spectrum of aneurysmal bone cyst and nodular fasciitis [J]. Hum Pathol, 2014, 45(1): 1-11.