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Nodular fasciitis of the head and neck

Published online by Cambridge University Press:  08 March 2006

P Silva ,
I A Bruce ,
T Malik ,
J Homer  and
S Banerjee
P Silva
Affiliation:
Departments of Head and Neck Surgery, Christie Hospital, Manchester,
I A Bruce
Affiliation:
Departments of Head and Neck Surgery, Christie Hospital, Manchester,
T Malik
Affiliation:
Departments of Head and Neck Surgery, Christie Hospital, Manchester,
J Homer
Affiliation:
Departments of Histopathology, Christie Hospital, Manchester,
S Banerjee
Affiliation:
Departments of Head and Neck Surgery, Department of Head and Neck Surgery, Manchester Royal Infirmary, UK.
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Abstract

Nodular fasciitis is an unusual benign reactive process affecting superficial and deep fascia. Its rapid growth, rich cellularity, high mitotic activity and poorly circumscribed nature result in it being easily misdiagnosed as a sarcomatous lesion. Three cases of nodular fasciitis presenting as neck lumps are reported. They were successfully treated with local excision, with no signs of recurrence following two years of follow up. This paper describes the clinical presentation and microscopic features of this rare benign lesion and it emphasizes the need for accurate histopathology and clinical suspicion, if inappropriate aggressive management is to be avoided.

Keywords

FasciitisDiagnosis, DifferentialHead And Neck Neoplasms
Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 119 , Issue 1 , January 2005 , pp. 8 - 11
Copyright
© 2005 Royal Society of Medicine Press

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