2011, Number S1
<< Back Next >>
Patol Rev Latinoam 2011; 49 (S1)
Ischemis fasciitis. First pediatric case
Drut R
Language: Spanish
References: 8
Page: s51-s53
PDF size: 370.61 Kb.
ABSTRACT
Ischemic fasciitis is a rare pseudosarcomatous fibroblastic proliferation which presents in soft tissues of decubital zones related to bone protuberances in debilitated patients. This paper describes the case of a 13 year-old girl with AML under treatment who developed a large area of necrosis of the skin at the right occipital-parietal region. The surgical specimen presented, besides the necrotic areas, extensive involvement of the fascia, hypodermis and deep dermis by proliferating granulation tissue containing epithelioid myofibroblasts with large, vesicular nucleus with prominent nucleolus, suggesting a spindle cell sarcoma. The lesion was interpreted as representing an example of ischemic fasciitis. There are no references of ischemic fasciitis in children.
REFERENCES
Montgomery EA, Meiss JM, Mitchell MS, Enzinger FM. Atypical decubital fibroplasias. A distinctive fibroblastic pseudotumor occurring in debilitated patients. Am J Surg Pathol 1992;16:708-715.
Weiss SW, Goldblum JR. In: Marc Strauss, editor. Enzinger and Weiss’s soft tissue tumors. 5th. ed. Pekin: Mosby Elsevier, 2008;p:200-203.
Liegl B, Fletcher CDM. Ischemic fasciitis: analysis of 44 cases indicating an inconsistent association with immobility or debilitation. Am J Surg Pathol 2008;32:1546-1552.
Znati K, Daoudi A, Elfatemi H, Chbani L, et al. La fasciite ischémique. Ä propos d’un cas. Ann Chir Plast Esthet 2009;54:392-395.
Baldassano MF, Rosenberg AE, Flotte TJ. Atypical decubital fibroplasias: a series of three cases. J Cutan Pathol 1998;25:149-152.
Yamamoto M, Ishida T, Machinami R. Atypical decubital fibroplasia in a young patient with melorheostosis. Pathol Int 1998;48:160-163.
Ilaslan H, Joyce M, Bauer T, Sundaram M. Decubital ischemic fasciitis: clinical, pathologic, and MRI features of pseudosarcoma. AJR Am J Roentegenol 2006;187:1338-1341.
Rosenberg AE. Pseudosarcomas of soft tissue. Arch Pathol Lab Med 2008;132:579-586.