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He was referred to our specialist hand surgery service and the lesion was excised along with the ulnar lateral band and the overlying skin. At 9\u2009months, there was no clinical evidence of recurrence. We are the first group to report the potential benefit of including of the overlying skin in the histological specimen to reduce the residual disease burden. Our case illustrates the technical challenges and considerations of removing a large, recurrent CAF of the hand and highlights the importance of centralised specialist care.<\/jats:p>","DOI":"10.1136\/bcr-2020-238418","type":"journal-article","created":{"date-parts":[[2021,1,12]],"date-time":"2021-01-12T18:57:12Z","timestamp":1610477832000},"page":"e238418","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Recurrent calcifying aponeurotic fibroma of the hand: managing a rare hand tumour in an evolving healthcare landscape"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0221-9386","authenticated-orcid":false,"given":"Michael","family":"Gallagher","sequence":"first","affiliation":[{"name":"Department of Surgery and Cancer, Imperial College London, London, UK"},{"name":"Department of Plastic Surgery, St Thomas' Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lilli","family":"Cooper","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, St Thomas' Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Javier","family":"Ibanez Mata","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, St Thomas' Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,1,11]]},"reference":[{"key":"2025082712494363000_14.1.e238418.1","doi-asserted-by":"crossref","first-page":"714","DOI":"10.11622\/smedj.2016147","article-title":"Incidence and anatomical distribution of hand tumours: a Singapore study","volume":"58","author":"Tang","year":"2017","journal-title":"Singapore Med J"},{"key":"2025082712494363000_14.1.e238418.2","doi-asserted-by":"crossref","DOI":"10.1186\/1471-2474-15-182","article-title":"Incidence, histopathologic analysis and distribution of tumours of the hand","volume":"15","author":"Simon","year":"2014","journal-title":"BMC Musculoskelet Disord"},{"key":"2025082712494363000_14.1.e238418.3","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1016\/J.JHSB.2005.10.008","article-title":"A review of hand surgery provision in England","volume":"31","author":"Hobby","year":"2006","journal-title":"J Hand Surg Br"},{"key":"2025082712494363000_14.1.e238418.4","unstructured":"Wolfe SW , Hotchkiss RN , Pederson WC , et al . 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