Giant Cell Fibroblastoma in a Child Misdiagnosed as a Dermatofibroma
We report a 9‐year‐old African‐American boy with a giant cell fibroblastoma of the shoulder that was incorrectly diagnosed as a keloid and dermatofibroma. Initial misdiagnosis led to a delay of 4 years in the correct diagnosis, with the tumor producing significant local destruction. We review herein...
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| Veröffentlicht in: | Pediatric dermatology 2002-01, Vol.19 (1), p.28-32 |
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| container_title | Pediatric dermatology |
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| creator | Nguyen, Chau M. Burch, Joanna M. Fitzpatrick, James E. Peterson, Steven L. Weston, William L. |
| description | We report a 9‐year‐old African‐American boy with a giant cell fibroblastoma of the shoulder that was incorrectly diagnosed as a keloid and dermatofibroma. Initial misdiagnosis led to a delay of 4 years in the correct diagnosis, with the tumor producing significant local destruction. We review herein the clinical manifestations, histologic findings, histiogenesis, relationship to dermatofibrosarcoma protuberans (DFSP), treatment, and differential diagnosis of giant cell fibroblastoma (GCF). This information is important in correctly diagnosing this uncommon, benign, but locally aggressive and recurrent tumor of childhood. The clinician should consider GCF and DFSP when the pathologic diagnosis of dermatofibroma is made in lesions more than 2 cm in diameter, or when this diagnosis is made in a prepubertal child. |
| doi_str_mv | 10.1046/j.1525-1470.2002.00008.x |
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Initial misdiagnosis led to a delay of 4 years in the correct diagnosis, with the tumor producing significant local destruction. We review herein the clinical manifestations, histologic findings, histiogenesis, relationship to dermatofibrosarcoma protuberans (DFSP), treatment, and differential diagnosis of giant cell fibroblastoma (GCF). This information is important in correctly diagnosing this uncommon, benign, but locally aggressive and recurrent tumor of childhood. 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Initial misdiagnosis led to a delay of 4 years in the correct diagnosis, with the tumor producing significant local destruction. We review herein the clinical manifestations, histologic findings, histiogenesis, relationship to dermatofibrosarcoma protuberans (DFSP), treatment, and differential diagnosis of giant cell fibroblastoma (GCF). This information is important in correctly diagnosing this uncommon, benign, but locally aggressive and recurrent tumor of childhood. The clinician should consider GCF and DFSP when the pathologic diagnosis of dermatofibroma is made in lesions more than 2 cm in diameter, or when this diagnosis is made in a prepubertal child.</description><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Dermatofibrosarcoma - diagnosis</subject><subject>Dermatofibrosarcoma - pathology</subject><subject>Dermatology</subject><subject>Diagnosis, Differential</subject><subject>Diagnostic Errors</subject><subject>Histiocytoma, Benign Fibrous - diagnosis</subject><subject>Histiocytoma, Benign Fibrous - pathology</subject><subject>Histiocytoma, Benign Fibrous - therapy</subject><subject>Humans</subject><subject>Keloid - diagnosis</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Skin - pathology</subject><subject>Skin Neoplasms - diagnosis</subject><subject>Skin Neoplasms - pathology</subject><subject>Skin Neoplasms - therapy</subject><subject>Tumors of the skin and soft tissue. Premalignant lesions</subject><issn>0736-8046</issn><issn>1525-1470</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkE1PwyAYx4nRuDn9CqYXvbVCKYUePJi9aTKjBz2TB0qVpS-zdHH79lLXuKtcIA-_PzzPD6GA4IjgJL1bR4TFLCQJx1GMcRxhv0S0O0Hjv4tTNMacpqHwgRG6cG7dM2lKztGIEJFilqZjNFtaqLtgasoyWFjVNqoE1zUVBLYOIJh-2jIPnq3LLXzUjTN5AM7XZ6atoGuKPlHBJToroHTmatgn6H0xf5s-hquX5dP0YRXqJMMiVKrIMyMoxEpozgVmHChXmhZATZ6LTDCKsY4xS0AUKiMxU0zkBdFAcIaBTtDt4d1N23xtjetkZZ32rUNtmq2T3M8tOKUeFAdQt41zrSnkprUVtHtJsOwNyrXsRclelOwNyl-Dcuej18MfW1WZ_BgclHngZgDAaSiLFmpt3ZGjjCepyDx3f-C-bWn2_25Avs7m_Yn-AEOrisg</recordid><startdate>200201</startdate><enddate>200201</enddate><creator>Nguyen, Chau M.</creator><creator>Burch, Joanna M.</creator><creator>Fitzpatrick, James E.</creator><creator>Peterson, Steven L.</creator><creator>Weston, William L.</creator><general>Blackwell Science, Inc</general><general>Blackwell</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200201</creationdate><title>Giant Cell Fibroblastoma in a Child Misdiagnosed as a Dermatofibroma</title><author>Nguyen, Chau M. ; Burch, Joanna M. ; Fitzpatrick, James E. ; Peterson, Steven L. ; Weston, William L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4908-bbfd9e83a2b8c778057a37bc3fa3edd8985300c2054a8fb9125b58df1ca1090a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Dermatofibrosarcoma - diagnosis</topic><topic>Dermatofibrosarcoma - pathology</topic><topic>Dermatology</topic><topic>Diagnosis, Differential</topic><topic>Diagnostic Errors</topic><topic>Histiocytoma, Benign Fibrous - diagnosis</topic><topic>Histiocytoma, Benign Fibrous - pathology</topic><topic>Histiocytoma, Benign Fibrous - therapy</topic><topic>Humans</topic><topic>Keloid - diagnosis</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Skin - pathology</topic><topic>Skin Neoplasms - diagnosis</topic><topic>Skin Neoplasms - pathology</topic><topic>Skin Neoplasms - therapy</topic><topic>Tumors of the skin and soft tissue. Premalignant lesions</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nguyen, Chau M.</creatorcontrib><creatorcontrib>Burch, Joanna M.</creatorcontrib><creatorcontrib>Fitzpatrick, James E.</creatorcontrib><creatorcontrib>Peterson, Steven L.</creatorcontrib><creatorcontrib>Weston, William L.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric dermatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nguyen, Chau M.</au><au>Burch, Joanna M.</au><au>Fitzpatrick, James E.</au><au>Peterson, Steven L.</au><au>Weston, William L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Giant Cell Fibroblastoma in a Child Misdiagnosed as a Dermatofibroma</atitle><jtitle>Pediatric dermatology</jtitle><addtitle>Pediatr Dermatol</addtitle><date>2002-01</date><risdate>2002</risdate><volume>19</volume><issue>1</issue><spage>28</spage><epage>32</epage><pages>28-32</pages><issn>0736-8046</issn><eissn>1525-1470</eissn><coden>PEDRDQ</coden><abstract>We report a 9‐year‐old African‐American boy with a giant cell fibroblastoma of the shoulder that was incorrectly diagnosed as a keloid and dermatofibroma. Initial misdiagnosis led to a delay of 4 years in the correct diagnosis, with the tumor producing significant local destruction. We review herein the clinical manifestations, histologic findings, histiogenesis, relationship to dermatofibrosarcoma protuberans (DFSP), treatment, and differential diagnosis of giant cell fibroblastoma (GCF). This information is important in correctly diagnosing this uncommon, benign, but locally aggressive and recurrent tumor of childhood. The clinician should consider GCF and DFSP when the pathologic diagnosis of dermatofibroma is made in lesions more than 2 cm in diameter, or when this diagnosis is made in a prepubertal child.</abstract><cop>New York, US</cop><pub>Blackwell Science, Inc</pub><pmid>11860566</pmid><doi>10.1046/j.1525-1470.2002.00008.x</doi><tpages>5</tpages></addata></record> |
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| subjects | Biological and medical sciences Child Dermatofibrosarcoma - diagnosis Dermatofibrosarcoma - pathology Dermatology Diagnosis, Differential Diagnostic Errors Histiocytoma, Benign Fibrous - diagnosis Histiocytoma, Benign Fibrous - pathology Histiocytoma, Benign Fibrous - therapy Humans Keloid - diagnosis Male Medical sciences Skin - pathology Skin Neoplasms - diagnosis Skin Neoplasms - pathology Skin Neoplasms - therapy Tumors of the skin and soft tissue. Premalignant lesions |
| title | Giant Cell Fibroblastoma in a Child Misdiagnosed as a Dermatofibroma |
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