Repetitive trauma-induced extra-nuchal-type fibroma
Autor: | Hamzah Lari, Prem Ruben Jayaram, Nissreen Mohammad, John Walsh, Paul I. Mallinson, Hugue Ouellette |
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Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
Skin Neoplasms Mri imaging business.industry Soft Tissue Neoplasms Anatomy Fibroma medicine.disease Lesion Nuchal-Type Fibroma medicine.anatomical_structure Head and Neck Neoplasms Orthopedic surgery medicine Squatting position Humans Radiology Nuclear Medicine and imaging medicine.symptom Nuchal ligament business Nuchal fibroma Neck |
Zdroj: | Skeletal radiology. 51(3) |
ISSN: | 1432-2161 |
Popis: | A nuchal-type fibroma is a rare, benign fibrous tumour that typically occurs in the posterior neck along the midline, but can occur in extra-nuchal locations, most commonly in the back, shoulder and face. We present a biopsy-proven case that arose as a result of heavy gym-related activities. In particular, a heavy barbell was rested on his vertebral prominence at the level of C7/T1 during leg squatting. Repetitive trauma as a cause for extra-nuchal-type fibromas has been sparsely reported, but we suggest that sustained high pressure is an additional required feature. Although this lesion was in the posterior neck, it was contained entirely within the subcutaneous tissues without involvement of the nuchal ligament. Hence, it was considered an extra-nuchal fibroma. A description of key ultrasound and MRI imaging characteristics are provided to assist in making the diagnosis, along with a review of the current literature and a discussion of differential diagnoses. |
Databáze: | OpenAIRE |
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