Calcifying aponeurotic fibroma: A multimodal imaging description of an unusual case involving soft tissues adjacent to the clavicle

Citació

  • Sanmiguel J, Diaz PS, Marsico S, Lloreta Trull J, Solano López A. Calcifying aponeurotic fibroma: A multimodal imaging description of an unusual case involving soft tissues adjacent to the clavicle. Radiol Case Rep. 2022 Mar 2;17(5):1424-30. DOI: 10.1016/j.radcr.2022.02.001

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Descripció

  • Resum

    Calcifying aponeurotic fibromas (CAFs) are rare benign tumors that typically develop in the soft tissue of the extremities. We report a case of 64-year-old woman with a CAF in the soft tissue surrounding her left clavicle. A plain radiograph showed an asymmetrical increase in opacity of the left internal clavicular region. Computed tomography and magnetic resonance imaging confirmed the presence of a heterogeneous lesion of the periclavicular soft tissue, with peripheral calcifications, and remodeling of the adjacent clavicular bone. Following ultrasound-guided biopsy and surgical resection of the mass, the final histological diagnosis was made. To the best of our knowledge, this is the first case of a CAF described in the soft tissue adjacent to the clavicle. It is essential to use all the diagnostic methods available (X-ray, ultrasound, CT, MRI, and percutaneous biopsy) to obtain the final diagnosis of this rare disease.
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