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October 1989

Nodular Fasciitis on the Palm of a Child

Author Affiliations

Department of Dermatology

Department of Pathology

Departments of Dermatology and Pediatrics The Medical College of Wisconsin Milwaukee, WI 53226

Arch Dermatol. 1989;125(10):1441-1442. doi:10.1001/archderm.1989.01670220139033

To the Editor.—  Nodular fasciitis was first described in the 1950s, and a number of important histologic and clinical features are now recognized. It is a benign disorder that almost certainly existed prior to 1955, but was undoubtedly mistaken for malignant neoplasms such as fibrosarcoma, angiosarcoma, liposarcoma, and malignant fibrous histiocytoma.1 This tumor has only occasionally been documented in children. We describe a 5½ -year-old girl with nodular fasciitis of the palm.

Report of a Case.—  A 5½-year-old girl was referred for evaluation of an enlarging nodule on the left palm that had been present for approximately 2 weeks. She had been playing with safety pins in her home and was felt to have possibly broken off a small portion of a pin in her hand. On examination she had a 1.5-cm moderately painful, firm, movable nodule on the left hypothenar eminence. The surface was a flat calluslike plaque

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