BenignSoft tissue
Fibroma of Tendon Sheath
Synonyms: Tendon sheath fibroma
Benign fibrous nodule on tendon sheath
Quick Facts
Behaviour
Benign
Category
Soft tissue
Synonyms
Tendon sheath fibroma
Category
Soft tissue
Behaviour
Benign
Gender
Male
Tissue of Origin
Fibrous
Epidemiology
- Benign fibrous tumour arising from tendon sheath
- Adults most commonly affected, peak 3rd–5th decades
- Male predominance
- Hand and wrist predilection
Clinical Features
- Small painless nodule attached to tendon sheath
- Fingers and wrist most common
- Slowly growing
Location
- Fingers and hand
- Wrist
- Foot
Imaging
MRI: low-signal nodule adherent to tendon sheath
Pathology
- Dense fibrous tissue with cleft-like spaces
- Scattered spindle fibroblasts
- t(2;11) in some cases
Genetics
t(2;11)(q31-32;q12) in subset
Treatment
- Simple excision curative
- Recurrence possible if incomplete
Prognosis
- Excellent - benign
- Low recurrence with complete excision
Key Points
- Benign fibrous nodule on tendon sheath
- Finger and hand predilection
- Simple excision curative
Workup - Blood Tests
None required
Workup - Local Imaging
Ultrasound or MRI
Workup - Biopsy
Excisional biopsy diagnostic
Workup - Staging
Not required
Medical disclaimer
The content on Sarcopedia is for educational and informational purposes only and does not constitute medical advice. It is not intended to be a substitute for professional medical diagnosis or treatment. Always consult with a qualified physician regarding any health concerns or before starting any new treatment. Reliance on any information provided on this site is solely at your own risk.