The Journal of the Chugoku-Shikoku Orthopaedic Association
Online ISSN : 1347-5606
Print ISSN : 0915-2695
ISSN-L : 0915-2695
original papers
Calcifying Aponeurotic Fibroma in the Lower Back : A Case Report
Yumi NomuraYoshiki YamagamiToshiaki HitoraNatsuko IidaTetsuji Yamamoto
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2012 Volume 24 Issue 2 Pages 251-254

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Abstract
Calcifying aponeurotic fibroma is a relatively rare, benign soft tissue tumor that is one of the superficial fibromas and typically occurs in the distal extremities of children and adolescents. We report a case of calcifying aponeurotic fibroma developing in the lower back region, which is a fairly uncommon site. This is the first reported case of a multiple calcifying aponeurotic fibroma occurring in the back. Histologically, poorly marginated proliferation of fibroblasts and cartilage formation accompanied by central calcification were characteristic features.
Calcifying aponeurotic fibroma is an ill-defined mass and has a tendency to infiltrate into the surrounding tissues. Because of its high local recurrence rate (50%), an appropriate excision is required and long-term postoperative follow-up is recommended.
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