Nodular Fasciitis of the Hand Over the Metacarpophalangeal Joint: A Case Report

OBJECTIVE This study describes a case of nodular fasciitis involving the hand and reviews the neoplasm's pertinent clinical, histologic, and pathologic features. METHODS The patient's chart, operative record, histologic specimens, and relevant literature were reviewed. RESULTS We report a case of nodular fasciitis involving the hand of a 55-year-old woman that was treated with marginal excision. CONCLUSIONS Nodular fasciitis is a self-limited, benign soft tissue tumor composed of fibroblasts and myofibroblasts that typically afflicts younger patients and rarely presents in the hand. Because of its presentation, it can be easily mistaken for a malignant neoplasm. However, most cases represent a reactive and therefore a polyclonal process. Marginal excision generally provides definitive treatment.