대한근골격영상의학회

Title : Case 798

Age / Sex : 45 / F Chief complaint : 오른쪽 어깨 전방부에 만져지는 종괴 ; 3개월 전부터 만져지며 점점 커지는 양상임 팔을 올리거나 젖힐때 점점 뻐근한 불편감 있어 내원함. What is your diagnosis? Two weeks later, you can see the final diagonosis with a brief discussion of this case (Please submit only one answer) Courtesy : 김수진 Sujin Kim, 중앙대병원 Chung-Ang University Hospital Diagnosis: Nodular fasciitis Discussion Disease definition a benign proliferation of fibro-blasts and myofibroblasts that may be mistaken for a sarcomatous lesion because of its rapid growth, abundant spindle-shaped cells, and mitotic activity Findings 1.Solitary oval or round shape, sharply defined mass 2.Fascia tail sign 3.Rapid growth References Simultaneous bifocal and asymptomatic intramuscular nodular fasciitis of the thigh: A case report https://doi.org/10.1002/ccr3.2872 Pathologic and MR Imaging Features of Benign Fibrous Soft-Tissue Tumors in Adults https://doi.org/10.1148/rg.271065065

Title : Case 798

Age / Sex : 45 / F

Chief complaint : 오른쪽 어깨 전방부에 만져지는 종괴

; 3개월 전부터 만져지며 점점 커지는 양상임

팔을 올리거나 젖힐때 점점 뻐근한 불편감 있어 내원함.

What is your diagnosis?

Two weeks later, you can see the final diagonosis with a brief discussion of this case (Please submit only one answer)

Courtesy : 김수진 Sujin Kim, 중앙대병원 Chung-Ang University Hospital

Diagnosis:

Nodular fasciitis

Discussion

Disease definition

a benign proliferation of fibro-blasts and myofibroblasts that may be mistaken for a sarcomatous lesion because of its rapid growth, abundant spindle-shaped cells, and mitotic activity

Findings

1.Solitary oval or round shape, sharply defined mass

2.Fascia tail sign

3.Rapid growth

References

Simultaneous bifocal and asymptomatic intramuscular nodular fasciitis of the thigh: A case report https://doi.org/10.1002/ccr3.2872

Pathologic and MR Imaging Features of Benign Fibrous Soft-Tissue Tumors in Adults

https://doi.org/10.1148/rg.271065065

Correct Answer
Total applicants	44	Correct answers	13
Name		Institution
이규정		국군수도병원, 전문의
이홍선		국군 수도병원, 전문의
이혜란		전문의
조소현		전문의
임채영		전공의
박서영		전문의
김종혁		전문의
권은영		전문의
김경호		전문의, 전문의
염주연		전공의
박진희		전문의
강지윤		전공의
김창수		전문의