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Large benign rheumatoid nodules of the trunk in an elderly patient: radiologic appearance mimicking a soft-tissue sarcoma
Authors:Toshihisa Osanai  Takashi Tsuchiya  Tadashi Hasegawa  Mitsunori Yamakawa
Affiliation:(1) Department of Orthopaedic Surgery, Yamagata University School of Medicine, 2-2-2 Iida-Nishi, Yamagata 990-9585, Japan;(2) Department of Surgical Pathology, Sapporo Medical University School of Medicine, Sapporo, Japan;(3) First Department of Pathology, Yamagata University School of Medicine, Yamagata, Japan
Abstract:
An 80-year-old woman without any evidence of rheumatoid arthritis presented with two large (maximum diameter: 6 cm and 7 cm), rapidly growing, rubbery nodules on the trunk. Although the clinical and radiological appearance suggested malignancy, the nodules were pathologically identical to rheumatoid nodules in rheumatoid arthritis, and the nodules regressed spontaneously. The final diagnosis was benign rheumatoid nodules. Recognition of this rare clinical entity is important to avoid unnecessary examination and treatment.
Keywords:Benign rheumatoid nodule  Elderly patient  Magnetic resonance imaging (MRI)  Soft-tissue sarcoma  Trunk
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