A nuchal fibroma is a rare benign mass; it is a fibrolipoma-like soft tissue mass, usually located in the lower back and the neck. Males are affected far more often than females. It can occur extranuchally. It is a slow growing tumor and usually asymptomatic. We present a rare case of a 39-year old female who was diagnosed with nuchal-type fibroma on final pathology. The proper management for this type of tumor is complete excision.
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Cutaneous ultrasound of the nuchal-type fibroma: diagnostic clues and surgery planning.
J Ultrasound
January 2024
Department of Dermatology, Clínica Universidad de Navarra, C. del Marquesado de Sta. Marta, 28027, Madrid, Spain.
Nuchal-type fibroma is a rare, benign tumour, arising from the connective tissue and characterized by their usual location in the posterior neck, although extra-nuchal locations may also occur. The excision of nuchal-type fibroma is curative, although it presents as a large poorly circumscribed lesion in the dermal and subcutaneous fat layer, with adipose tissue and muscle fascicles entrapment, what can lead to partial excisions and relapses. Due to its rarity, little is known about the sonographic appearances of nuchal-type fibroma.
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Florida Atlantic University, Charles E. Schmidt College of Medicine, Boca Raton, Fla.
A nuchal-type fibroma (NTF) is a rare, benign, subcutaneous nodule that most frequently occurs in the posterior neck along the midline. It is characterized histologically by bundles of thick collagen fibers confined to the dermis and subcutaneous tissue of the posterior neck. Few trauma-related NTF cases have been published.
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Desmoid tumor (DT) is a fibroblastic proliferation arising in soft tissue characterized by localized infiltrative growth with an inability to metastasize but with a tendency to recurrence. Nuchal-type fibromas are benign soft tissue lesions that are usually developed in the posterior neck. The development of these neoplasms can be associated with a hereditary cancer predisposition syndrome, mainly familial adenomatous polyposis (FAP) syndrome caused by germline mutations.
View Article and Find Full Text PDFA giant extra-nuchal type fibroma on the thigh.
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Repetitive trauma-induced extra-nuchal-type fibroma.
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Department of Radiology, Vancouver General Hospital, 899 W 12th Ave, Vancouver, BC, V5Z 1M9, Canada.
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.
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