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The Journal of Bone and Joint Surgery 80:1684-6 (1998)
© 1998 The Journal of Bone and Joint Surgery, Inc.

Nuchal Fibroma of the Shoulder Involving Skeletal Muscle: A Radiographic and Clinicopathological Study. A Case Report*

MEERA HAMEED, M.D.{dagger}, JOSEPH BENEVENIA, M.D.{dagger}, MARCIA BLACKSIN, M.D.{dagger} and SEENA C. AISNER, M.D.{dagger}, NEWARK, NEW JERSEY

Investigation performed at the Departments of Pathology, Orthopaedic Surgery, and Radiology, University of Medicine and Dentistry of New Jersey, New Jersey Medical School, Newark


   Introduction
 
Nuchal fibromas are rare superficial lesions involving the skin and subcutaneous tissue of the neck. Clinically and radiographically, they may resemble more invasive lesions such as dermatofibrosarcoma protuberans and fibromatosis (extra-abdominal desmoid tumor), which usually involve the skin and the subcutaneous tissue, or they may resemble synovial sarcoma, which involves the deep tissue.

We report the case of a patient who had a nuchal fibroma that involved skeletal muscle and peripheral nerves.


   Case Report
 
An athletic fifteen-year-old boy was noted to have a large painless mass over the left shoulder during a routine physical examination. The mass had been present for at least one year, and the patient had no history of trauma. Additional examination revealed a poorly defined, rubbery mass, measuring fifteen by ten centimeters, that displaced the scapula posteriorly and inferiorily. There was no evidence of scoliosis and no history of neuromuscular disease. The remainder of the history and physical . . . [Full Text of this Article]


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