Ischemic fasciitis in a mobile elderly patient: A case report

Matsunaga,Ayano; Sasaki,Yae; Ogata,Sho; Kariya,Shogo; Susa,Michiro; Matsukuma,Susumu

doi:10.3892/etm.2024.12724

Ischemic fasciitis in a mobile elderly patient: A case report

Authors:
- Ayano Matsunaga
- Yae Sasaki
- Sho Ogata
- Shogo Kariya
- Michiro Susa
- Susumu Matsukuma
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Affiliations: Department of Pathology and Laboratory Medicine, National Defense Medical College, Tokorozawa, Saitama 359‑8513, Japan, Medical Planning Office, Maritime Staff Office, Japan Maritime Self‑Defense Force, Tokyo 162‑8803, Japan, Department of Orthopedic Surgery, Japan Ground Self‑Defense Sapporo Hospital, Sapporo, Hokkaido 005‑0008, Japan, Department of Orthopedic Surgery, National Defense Medical College, Tokorozawa, Saitama 359‑8513, Japan
Published online on: September 19, 2024 https://doi.org/10.3892/etm.2024.12724
Article Number: 434

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Abstract

Ischemic fasciitis (IF) is a rare pseudosarcomatous lesion usually occurring in physically debilitated or immobilized, elderly patients. The current case presents a 76‑year‑old mobile man with IF on his back. The 33‑mm subcutaneous lesion, focally involving the latissimus dorsi muscle, had been slowly increasing in size for 2 months and was clinically suggested to be a soft‑tissue sarcoma. The fragmented biopsy specimens showed a chiefly scattered proliferation of spindle or stellate cells with plump nuclei within myxofibrous stroma. Zonation was not evident, but the lesion contained fibrinous deposits. These findings indicated a possible diagnosis of IF. The lesion spontaneously disappeared 5 months after the biopsy. The presence of fibrin‑like deposits within myxofibrous stroma could be a hallmark for the correct diagnosis of IF.

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