A rare case of maxillary nodular fasciitis: Case report and short literature review.

Nodular fasciitis has to be considered as an option in the presence of a solitary, rapidly growing mass even in older adults. When possible, direct surgery should be preferred to FNAC, particularly in the older adults because of high misdiagnostic risk.

Nodular fasciitis of the tongue.

BACKGROUND: Nodular fasciitis is a non-neoplastic proliferation within the subcutaneous tissue and the deep fascia of the fibroblasts, probably of a reactive nature characterized by apparent infiltration of the connective tissues by a mitotically active spindle cell lesion. Nodular fasciitis in the head/neck region is rarely found and only 2 previous cases affecting the tongue have been reported. METHODS AND RESULTS: The purpose of this study was for us to report a very rare case of a 67-year-old man with a history of a 3-month subepithelial asymptomatic nodule of the tongue tip with an ulcerated surface. An excisional biopsy of the mass was performed with 0.5-mm surgical margins. CONCLUSION: The clinical and histological features of nodular fasciitis may mimic a head and neck malignancy, but it is often misdiagnosed as a malignant mesenchymal neoplasm. Even if it is a rare entity, nodular fasciitis should be considered in cases of rapidly growing masses of the head and neck region.

Nodular fasciitis in the pediatric population: a single center experience.

PURPOSE: To describe our experience with nodular fasciitis in the pediatric population, in an attempt to contribute additional information that may be used to develop a more comprehensive characterization of the disease. METHODS: A twenty-year retrospective chart review of patients 18 years or younger diagnosed with nodular fasciitis at a single, large, academic institution. RESULTS: Five patients were treated for nodular fasciitis during the study period. The majority (60%) were male and all presented with rapidly enlarging masses that were excised surgically. The median age at presentation was 14 years. Most (60%) lesions were located in the upper extremities and 80% had no related symptomatology or disability. All lesions were less than 3 cm in greatest dimension and 4 patients had no signs of recurrence (one patient was lost to follow-up). Pathologic, immunohistochemical, and long-term follow-up data were lacking in our cohort. CONCLUSION: The characteristics of nodular fasciitis in children at our institution are slightly different than those which have been reported thus far based on no patients with head and neck disease or antecedent trauma to the affected area. Due to variability in clinical presentation and histologic findings, additional studies are necessary to provide more practical, consistent and effective management strategies.