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The cartilage analogue of fibromatosis (aponeurotic fibroma). Further observations based on 7 new cases
Author(s) -
Goldman Ronald L.
Publication year - 1970
Publication title -
cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.052
H-Index - 304
eISSN - 1097-0142
pISSN - 0008-543X
DOI - 10.1002/1097-0142(197012)26:6<1325::aid-cncr2820260620>3.0.co;2-m
Subject(s) - fibrocartilage , cartilage , lesion , fibromatosis , medicine , anatomy , fibroma , mesenchymal stem cell , articular cartilage , malignant transformation , pathology , aggressive fibromatosis , osteoarthritis , alternative medicine
This paper presents observations derived from 7 new examples of the cartilage analogue of fibromatosis and reviews 27 relevant cases from the literature. The present report further widens the scope of this entity, both in its site of occurrence and in terms of the age of affected individuals, and reaffirms the efficacy of conservative surgical procedures in its control. The hallmark of this particular variety of fibromatosis is regarded as the differentiation of peculiar chondroid conformations within the spindle‐cell stroma. Many of these complexes resemble fibrocartilage and recall the emergence of fibrocartilaginous transformation in tendons and aponeuroses in the vicinity of their attachments to skeletal structures. The predominant occurrence of this lesion in children and young adults and the observation of its development in the vicinity of a fracture in a 64‐year‐old man, coupled with its predilection to originate in paraskeletal tissues, suggests the possibility that the cartilage analogue of fibromastosis represents a proliferation of specialized mesenchymal elements related to the stimulatory effect of normal or reactive skeletal growth.