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Decubital Ischemic Fasciitis: Clinical, Pathologic, and MRI Features of Pseudosarcoma

¹ Department of Radiology, Cleveland Clinic, 9500 Euclid Ave. A21, Cleveland, OH 44195.
² Department of Orthopedic Surgery, Cleveland Clinic, Cleveland, OH.
³ Department of Pathology and Orthopedic Surgery, Cleveland Clinic, Cleveland, OH.

OBJECTIVE. The purpose of this report is to describe clinical, pathologic, and MRI findings on decubital ischemic fasciitis, which is a rare soft-tissue tumor sarcoma simulator.

CONCLUSION. Decubital ischemic fasciitis is a reactive, nonneoplastic lesion typically seen in older debilitated patients at pressure points. Because this lesion simulates soft-tissue sarcoma, both clinically and histologically, it is important to recognize the MRI features and limit misdiagnosis of sarcoma.

Keywords: decubital ischemic fasciitis • hip • MRI • pseudosarcoma • sarcoma • soft-tissue tumor

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