The Nonage Concretion-Calcifying Aponeurotic Fibroma

Calcifying aponeurotic fibroma is an exceptional, locally aggressive, benign, fibroblastic, soft tissue neoplasm commonly emerging within palms and soles of young children or adolescents. Calcifying aponeurotic fibroma was denominated as “juvenile aponeurotic fibroma” by Keasbey in 1953 [1]. As the condition incriminates a broad age group, the term “calcifying aponeurotic fibroma” is suggested and preferred. The neoplasm can be contemplated as a cartilaginous analogue of soft tissue fibromatosis. Palisading pattern of fibroblastic dissemination encompass chondroid or calcific foci. The tumour demonstrates a propensity for localized tumour reoccurrence whereas distant metastasis is absent. Calcifying aponeurotic fibroma delineates an aggressive, locally invasive, biological behaviour with an enhanced localized tumour reoccurrence following surgical resection [2]. Clinical and radiographic appearance of calcifying aponeurotic fibroma is variable and contingent to proportionate calcification and soft tissue involvement. The neoplasm is appropriately discerned by cogent histological evaluation [2].