Preview

Russian Neurosurgical Journal named after Professor A. L. Polenov

Advanced search

Surgical treatment of calcifying aponeurotic fibroma with atypical localization in the cervical spine: clinical observation

https://doi.org/10.56618/2071-2693_2024_16_1_163

EDN: FEYVVV

Abstract

Calcifying aponeurotic fibroma (CAF), or juvenile aponeurotic fibroma, is a rare disease that was first described in 1953. KAF is a benign, usually single, non-metastasizing formation. The pathogenesis to this day remains completely unexplored, but the fibroblastic/myofibroblastic origin of this formation is assumed [2]. According to literature, CAF mainly affects the palmar fascia, tendons and aponeurosis of the extremities, in particular the hands and feet [3, 10, 11]. The main histological signs of calcifying aponeurotic fibroma are benign spindle-shaped cells, chondroid cells, multinucleated giant cells, hyaline, myxoid stroma and calcified residues, as well as the absence of mitotic activity [2, 12].

In this study, we report a rare clinical case of surgical treatment of calcifying aponeurotic fibroma with localization in the cervical spine area diagnosed in the Polenov Neurosurgery Institute in a man 23 years old.

About the Authors

A. Yu. Voevodkina
V. A. Almazov National Medical Research Center
Russian Federation

Voevodkina Alina Yurievna,

2, Akkuratova street, St. Petersburg, 197341.



A. V. Kudziev
V. A. Almazov National Medical Research Center
Russian Federation

Kudziev Andrey Valerievich,

2, Akkuratova street, St. Petersburg, 197341.



A. S. Nazarov
V. A. Almazov National Medical Research Center
Russian Federation

Nazarov Alexander Sergeevich,

2, Akkuratova street, St. Petersburg, 197341.



D. A. Sitovskaya
V. A. Almazov National Medical Research Center
Russian Federation

Sitovskaya Daria Alexandrovna,

2, Akkuratova street, St. Petersburg, 197341.



Yu. M. Zabrodskaya
V. A. Almazov National Medical Research Center
Russian Federation

Zabrodskaya Julia Mikhailovna,

2, Akkuratova street, St. Petersburg, 197341.



E. A. Oleynik
V. A. Almazov National Medical Research Center
Russian Federation

Oleynik Ekaterina Anatolievna,

2, Akkuratova street, St. Petersburg, 197341.



A. Yu. Orlov
V. A. Almazov National Medical Research Center
Russian Federation

Orlov Andrey Yurievich,

2, Akkuratova street, St. Petersburg, 197341.



References

1. Орлов А. Ю., Короткевич М. М., Каурова Т. А. Алгоритмизация диагностики основных конкурирующих заболеваний периферических нервов // Росс. нейрохирург. журн. им. проф. А. Л. Поленова. 2012. Т. 1, № 1. С. 36–40. [Orlov A. Yu., Korotkevich M. M., Kaurova T. A. Algorithmization of diagnostics of the main competing diseases of peripheral nerves. Russian Neurosurgical Journal named after Professor A. L. Polenova. 2012;1(1):36–40. (In Russ.)].

2. Campanacci M., Bertoni F., Bacchini P. Aponeurotic Fibromatosis. Bone and Soft Tissue Tumors. Published online. 1990:847–849. https://doi.org/10.1007/978-3-662-29279-2_60.

3. Choi S. J., Ahn J. H., Kang G. et al. Calcifying Aponeurotic Fibroma with Osseous Involvement of the Finger: a Case Report with Radiologic and US Findings. Korean J Radiol. 2008;9(1):91. https://doi.org/10.3348/kjr.2008.9.1.91.

4. Coldblum J. R. Enzinger and Weiss’s Soft Tissue Tumors. 6th ed. Calcifying aponeurotic fibroma. Philadelphia: Elsevier Saunders; 2014, pp. 257–287.

5. Corominas L., Sanpera I., Sanpera-Iglesias J., RamosAnsesio R. F. Calcifying aponeurotic fibroma in children: our experience and a literature review. Journal of Pediatric Orthopaedics B. 2017;26(6):560–564. https://doi.org/10.1097/bpb.0000000000000335

6. DeSimone R. S., Zielinski C. J. Calcifying Aponeurotic Fibroma of the Hand. The Journal of Bone and Joint Surgery-American Volume. 2001;83(4):586–588. https://doi.org/10.2106/00004623-200104000-00016.

7. Enzinger F. M., Weiss S. W., Chandrasekhar B. Soft Tissue Tumors. Plastic and Reconstructive Surgery. 1985;76(1):153. https://doi.org/10.1097/00006534-198507000-00030.

8. Garcia Navas F. M., Fernandez N., Lopez A., Montero P. Calcifying aponeurotic fibroma of the sole of the foot in an elderly patient. The Foot. 2019;(40):64–67 . https://doi.org/10.1016/j.foot.2019.04.006.

9. Hasegawa H. K., Park S., Hamazaki M. Calcifying aponeurotic fibroma of the knee: A case report with radiological findings. The Journal of Dermatology. 2006;33(3):169–173. https://doi.org/10.1111/j.1346-8138.2006.00039.x.

10. Keasbey L. E. Juvenile aponeurotic fibroma (calcifying fibroma). A distinctive tumor arising in the palms and soles of young children. Cancer. 1953;6(2):338–346. https://doi.org/10.1002/1097-0142(195303)6:2<338::aidcncr2820060218>3.0.co;2-m

11. Keasbey L. E. The aponeurotic fibroma. Clin Orthopaedi Relat Res. 1961;(19):115–131.

12. Kim O. H., Kim Y. M. Calcifying Aponeurotic Fibroma: Case Report with Radiographic and MR Features. Korean J Radiol. 2014;15(1):134. https://doi.org/10.3348/kjr.2014.15.1.134.

13. Lee S. H., Lee I. S., Song Y. S., Choi K. U., Kim J. .I, Song J. W. Calcifying Aponeurotic Fibroma of the Knee: a Case Report with Radiographic and MRI Finding. Investig Magn Reson Imaging. 2017;21(4):259. https://doi.org/10.13104/imri.2017.21.4.259.

14. Morii T., Yoshiyama A., Morioka H., Anazawa U., Mochizuki K., Yabe H. Clinical significance of magnetic resonance imaging in the preoperative differential diagnosis of calcifying aponeurotic fibroma. Journal of Orthopaedic Science. 2008;13(3):180–186. https://doi.org/10.1007/s00776-008-1226-6.

15. Murphy B. A., Kilpatrick S. E., Panella M. J., White W. L. Extra-acral calcifying aponeurotic fibroma: a distinctive case with 23-year follow-up. J Cutan Pathol. 1996;23(4):369–372. https://doi.org/10.1111/j.1600-0560.1996.tb01312.x.

16. Nishio J., Inamitsu H, Iwasaki H., Hayashi H., Naito M. Calcifying aponeurotic fibroma of the finger in an elderly patient: CT and MRI findings with pathologic correlation. Experimental and Therapeutic Medicine. 2014;8(3):841–843. Doi: 10.3892/etm.2014.1838.

17. Sekiguchi T., Nakagawa M., Miwa S. et al. Calcifying aponeurotic fibroma in a girl: MRI findings and their chronological changes. Radiology Case Reports. 2017;12(3):620–623. https://doi.org/10.1016/j.radcr.2017.04.009.

18. Sharma R., Punia R. S., Sharma A., Marwah N. Juvenile (calcifying) aponeurotic fibroma of the neck. Pediatric Surgery International. 1998;13(4):295–296. https://doi.org/10.1007/s003830050322.

19. Takaku M., Hashimoto I., Nakanishi H., Kurashiki T. Calcifying aponeurotic fibroma of the elbow: a case report. J Med Invest. 2011;58(1,2):159–162. https://doi.org/10.2152/jmi.58.159.

20. Yura S., Terahata S., Ohga N., Ooi K. A Case of Calcifying Aponeurotic Fibroma Arising in the Medial Pterygoid Muscle. Journal of Oral and Maxillofacial Surgery. 2008;66(2):359–361. https://doi.org/10.1016/j.joms.2006.10.032.


Review

For citations:


Voevodkina A.Yu., Kudziev A.V., Nazarov A.S., Sitovskaya D.A., Zabrodskaya Yu.M., Oleynik E.A., Orlov A.Yu. Surgical treatment of calcifying aponeurotic fibroma with atypical localization in the cervical spine: clinical observation. Russian Neurosurgical Journal named after Professor A. L. Polenov. 2024;16(1):163-169. (In Russ.) https://doi.org/10.56618/2071-2693_2024_16_1_163. EDN: FEYVVV

Views: 85


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2071-2693 (Print)