Clinical characteristics of nodular fasciitis of the ear in children

Wang, Xiaoxu; Liu, Wei; He, Lejian; Chen, Min; Shao, Jianbo; Xiao, Zhao; Ma, Ning; Li, Yanhong; Zhang, Jie

doi:10.1007/s00431-021-04274-x

Cited by 3 publications

(13 citation statements)

References 17 publications

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“…We identified only nine articles [ 4 , 6 , 7 , 13 , 14 , 15 , 16 , 17 , 18 ] from our research and inclusion criteria that can be discussed ( Table 1 ).…”

Section: Discussionmentioning

confidence: 99%

“…The biggest study was the retrospective review of 50 cases of auricular NF done by Thompson et al [ 4 ]; at presentation the mean age was 27 years but there was no info about the age at the onset of the disease. The remaining eight articles were two retrospective studies and six case reports, which described a total of thirteen pediatric patients (7 males and 4 females); two cases did not report sex [ 13 , 16 ]) from 17 months until 18 years old of age [ 6 , 7 , 8 , 13 , 14 , 15 , 16 ].…”

Section: Discussionmentioning

confidence: 99%

“…Its prevalence in children is approximately 10% [ 3 ]. Rarely NF localized in the ear region was reported in literature [ 4 , 5 ] and more rarely described in pediatric age [ 6 , 7 ]. Masses in the external ear can be due to rhabdomyosarcoma [ 8 ], angioleiomyoma [ 9 ], fibroepithelial polyp [ 10 ], squamous cell carcinoma [ 11 ], otitis malignant and suppurate tissue in case of persistence of an external body in the EAC [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

“…Masses in the external ear can be due to rhabdomyosarcoma [ 8 ], angioleiomyoma [ 9 ], fibroepithelial polyp [ 10 ], squamous cell carcinoma [ 11 ], otitis malignant and suppurate tissue in case of persistence of an external body in the EAC [ 12 ]. The diagnostic management includes ultrasonography (US), computed tomography (CT) and magnetic resonance imaging (MRI) [ 7 ]. However, only histopathology can confirm the diagnosis [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

“…However, only histopathology can confirm the diagnosis [ 4 ]. After a short period of observation, the lesion must be surgically removed in toto [ 7 ]. Some authors proposed injection of intralesional steroids or partial removal of the lesion [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

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Diagnosis and Treatment of Nodular Fasciitis of Ear Region in Children: A Case Report and Review of Literature

Volpe¹,

Festa²,

Varricchio³

et al. 2022

Healthcare

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Nodular fasciitis (NF) is a benign fibroblastic and myofibroblastic proliferation of subcutaneous tissues. Rarely, it has been identified in the ear and more rarely in children. We describe a case in a four-year-old girl and the surgical management of it. The patient was referred to the otolaryngology unit of a tertiary referral center because she was affected by a painless and growing lesion in the left external auditory canal (EAC). The girl was treated by large-spectrum antibiotic therapy for one week without success. For this reason, we requested ultrasonography (US) of the left hemiface, maxillofacial and temporal bone computed tomography (CT) and magnetic resonance imaging (MRI) of the head with and without contrast. The imaging identified an irregular ovoid hypoechoic nodule with distinct margins indissociable from the cartilaginous planes and extending into the parotid loggia with local infiltration of the fascia. The lesion was surgically removed through preauricular access due its extension into the parotid area. The mass was excised in toto and sent to the pathologist for immunohistochemistry. The histopathologist based on the finding diagnosed a nodular fasciitis. In case of suspicion of malignancy, early investigations should be done to evaluate the lesion, then a traditional parotidectomy can be safely and successfully performed even in a very young child. The open technique allows the removal of NF with full control of the surgical area and facial nerve. In this article, we presented the management of a case in a 4-year-old female affected by NF of the external auditory canal (EAC), and we described clinical and surgical management of the case. We also reviewed literature of nodular fasciitis cases of ears in children.

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“…We identified only nine articles [ 4 , 6 , 7 , 13 , 14 , 15 , 16 , 17 , 18 ] from our research and inclusion criteria that can be discussed ( Table 1 ).…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Diagnosis and Treatment of Nodular Fasciitis of Ear Region in Children: A Case Report and Review of Literature

Volpe¹,

Festa²,

Varricchio³

et al. 2022

Healthcare

View full text Add to dashboard Cite

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Nodular fasciitis of the external auditory canal: Clinical case report and review of the literature

Philippart,

Degols,

Vilain

2023

Journal of Otology

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Nodular Fasciitis in the Preauricular Area in Pediatric Patients

Jeong

2023

Ear Nose Throat J

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Nodular fasciitis is a benign myofibroblastic and fibroblastic proliferative lesion that can be found in the subcutaneous tissue, muscle, and fascia. It is frequently observed in young adults aged 20 to 40 years and less commonly in pediatric patients. Rapid growth, high cellularity, and remarkable mitotic activity of this lesion could lead to misdiagnosis as a soft tissue sarcoma. Here, two cases of nodular fasciitis in the preauricular area in pediatric patients were reported. Nodular fasciitis in the preauricular area in a pediatric patient is rare. It could be confused with soft tissue sarcoma. However, nodular fasciitis should be suspected in a pediatric patient with a rapidly growing mass in the head and neck region. Surgical excision should be performed to confirm the histopathologic diagnosis when clinical diagnosis is uncertain and there is possibility of malignancy.

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Clinical characteristics of nodular fasciitis of the ear in children

Cited by 3 publications

References 17 publications

Diagnosis and Treatment of Nodular Fasciitis of Ear Region in Children: A Case Report and Review of Literature

Diagnosis and Treatment of Nodular Fasciitis of Ear Region in Children: A Case Report and Review of Literature

Nodular fasciitis of the external auditory canal: Clinical case report and review of the literature

Nodular Fasciitis in the Preauricular Area in Pediatric Patients

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