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Superficial Fibromatoses
Eric Walker, MD, MHA, FACR, FACHE; Kirkland W. Davis, MD, FACR; Catherine C. Roberts, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Clinical Issues

        TERMINOLOGY

        • Synonyms

          • Palmar fibromatosis: Dupuytren disease/contracture
          • Plantar fibromatosis: Ledderhose disease
          • Penile fibromatosis: Peyronie disease
        • Definitions

          • Benign, nodular fibroblastic/myofibroblastic proliferations typically arising in volar aspect of hands and fingers or plantar aponeurosis
          • Involvement of aponeurosis and variably subcutis and dermis
          • Solitary nodules are still called "fibromatosis"; histologically different entity than fibroma

        IMAGING

        • General Features

          • Radiographic Findings

            • MR Findings

              • Ultrasonographic Findings

                DIFFERENTIAL DIAGNOSIS

                  PATHOLOGY

                  • General Features

                    • Gross Pathologic & Surgical Features

                      • Microscopic Features

                        CLINICAL ISSUES

                        • Presentation

                          • Demographics

                            • Natural History & Prognosis

                              • Treatment

                                Selected References

                                1. Stewart BD et al: Palmar and plantar fibromatosis: a review. J Pathol Transl Med. 55(4):265-70, 2021
                                2. Thway K et al: Palmar fibromatosis and plantar fibromatosis. In Fletcher CDM et al: World Health Organization Classification of Tumours: Soft Tissue and Bone Tumours. 5th ed. IARC Press. 90-2, 2020
                                3. Adib O et al: Ledderhose's disease: radiologic/pathologic correlation of superficial plantar fibromatosis. Diagn Interv Imaging. 95(9):893-6, 2014
                                4. Kransdorf MJ et al: Fibrous and fibrohistiocytic tumors. In Kransdorf MJ et al: Imaging of Soft Tissue Tumors. 3rd ed. Lippincott Williams & Wilkins. 267-71, 2014
                                5. Lennox L et al: Superficial plantar fibromatosis. Cutis. 92(5):220, 225, 226, 2013
                                6. Walker EA et al: Imaging features of superficial and deep fibromatoses in the adult population. Sarcoma. 2012:215810, 2012
                                7. Walker EA et al: Magnetic resonance imaging of benign soft tissue neoplasms in adults. Radiol Clin North Am. 49(6):1197-217, vi, 2011
                                8. Walker EA et al: Magnetic resonance imaging of soft-tissue masses. Semin Roentgenol. 45(4):277-97, 2010
                                9. Weiss SW et al: Fibromatoses. In Weiss SW et al: Enzinger and Weiss' Soft Tissue Tumors. 5th ed. Elsevier. 227-35, 2008
                                10. Goldblum J et al: Superficial fibromatoses. In Fletcher CDM et al: World Health Organization Classification of Tumours. Pathology and Genetics of Tumours of Soft Tissue and Bone. IARC Press. 81-2, 2002
                                11. Montgomery E et al: Superficial fibromatoses are genetically distinct from deep fibromatoses. Mod Pathol. 14(7):695-701, 2001
                                12. Robbin MR et al: Imaging of musculoskeletal fibromatosis. Radiographics. 21(3):585-600, 2001
                                Related Anatomy
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                                Related Differential Diagnoses
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                                References
                                Tables

                                Tables

                                KEY FACTS

                                • Terminology

                                  • Imaging

                                    • Clinical Issues

                                      TERMINOLOGY

                                      • Synonyms

                                        • Palmar fibromatosis: Dupuytren disease/contracture
                                        • Plantar fibromatosis: Ledderhose disease
                                        • Penile fibromatosis: Peyronie disease
                                      • Definitions

                                        • Benign, nodular fibroblastic/myofibroblastic proliferations typically arising in volar aspect of hands and fingers or plantar aponeurosis
                                        • Involvement of aponeurosis and variably subcutis and dermis
                                        • Solitary nodules are still called "fibromatosis"; histologically different entity than fibroma

                                      IMAGING

                                      • General Features

                                        • Radiographic Findings

                                          • MR Findings

                                            • Ultrasonographic Findings

                                              DIFFERENTIAL DIAGNOSIS

                                                PATHOLOGY

                                                • General Features

                                                  • Gross Pathologic & Surgical Features

                                                    • Microscopic Features

                                                      CLINICAL ISSUES

                                                      • Presentation

                                                        • Demographics

                                                          • Natural History & Prognosis

                                                            • Treatment

                                                              Selected References

                                                              1. Stewart BD et al: Palmar and plantar fibromatosis: a review. J Pathol Transl Med. 55(4):265-70, 2021
                                                              2. Thway K et al: Palmar fibromatosis and plantar fibromatosis. In Fletcher CDM et al: World Health Organization Classification of Tumours: Soft Tissue and Bone Tumours. 5th ed. IARC Press. 90-2, 2020
                                                              3. Adib O et al: Ledderhose's disease: radiologic/pathologic correlation of superficial plantar fibromatosis. Diagn Interv Imaging. 95(9):893-6, 2014
                                                              4. Kransdorf MJ et al: Fibrous and fibrohistiocytic tumors. In Kransdorf MJ et al: Imaging of Soft Tissue Tumors. 3rd ed. Lippincott Williams & Wilkins. 267-71, 2014
                                                              5. Lennox L et al: Superficial plantar fibromatosis. Cutis. 92(5):220, 225, 226, 2013
                                                              6. Walker EA et al: Imaging features of superficial and deep fibromatoses in the adult population. Sarcoma. 2012:215810, 2012
                                                              7. Walker EA et al: Magnetic resonance imaging of benign soft tissue neoplasms in adults. Radiol Clin North Am. 49(6):1197-217, vi, 2011
                                                              8. Walker EA et al: Magnetic resonance imaging of soft-tissue masses. Semin Roentgenol. 45(4):277-97, 2010
                                                              9. Weiss SW et al: Fibromatoses. In Weiss SW et al: Enzinger and Weiss' Soft Tissue Tumors. 5th ed. Elsevier. 227-35, 2008
                                                              10. Goldblum J et al: Superficial fibromatoses. In Fletcher CDM et al: World Health Organization Classification of Tumours. Pathology and Genetics of Tumours of Soft Tissue and Bone. IARC Press. 81-2, 2002
                                                              11. Montgomery E et al: Superficial fibromatoses are genetically distinct from deep fibromatoses. Mod Pathol. 14(7):695-701, 2001
                                                              12. Robbin MR et al: Imaging of musculoskeletal fibromatosis. Radiographics. 21(3):585-600, 2001