Nodular fasciitis

Case contributed by Erik Ranschaert


Palpable nodular swelling on the plantar side of right and left foot and on the palmar side of the right hand, not painful and already present for a longer period.

Patient Data

Age: 55 years
Gender: Male

Multiple subcutaneous well defined hypoechoic lesions with mild increase in internal vascularity characteristic of nodular fasciitis.

Case Discussion

Nodular fasciitis or pseudosarcomatous fibromatosis is a rapidly growing nonneoplastic soft-tissue tumor that is frequently located in the deep subcutaneous region or in the fascia. The most common locations for nodular fasciitis are the volar aspect of the forearm, the lower extremity, and the chest and back.

On sonography, nodular fasciitis can show a single or several, rapidly-growing, well-defined, isoechoic to hypoechoic nodules with increased vascular flow in the deep portion of the subcutaneous fat layer.

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