Intradermal Nodular Fasciitis Presenting as an Eyelid Mass

Abstract

When nodular fasciitis occurs in an unusual location, such as on the head and neck or at an intradermal location, it will not present as the deep, mobile, nontender nodule described in the dermatologic literature. Fine-needle aspiration and modern imaging techniques may help in the diagnosis and prevent unnecessary surgery for a self-limited condition.

RETRACTED ARTICLE: A case of nodular fasciitis in the upper eyelid

“…If it does recur, disease other than NF should be suspected. 2,4 In this case, no recurrence or new lesion was observed 3 months after the excisional biopsy. When physicians encounter a rapidly growing subcutaneous nodule in the eyelid, they should consider the possibility of NF in order to avoid unnecessary wide resection, since the prognosis of NF is favorable even with simple excision.…”

“…3 It is typically discovered as a subcutaneous nodule that does not adhere to the surrounding tissues or infi ltrate the dermis. 1,2 The NF of this case was differentiated from the typical clinical features by its infi ltration of the dermis and orbicularis and by its adhesion to the surrounding tissues.…”

“…1 Since NF expresses actin and vimentin but not desmin or S100 protein, as in this case, diagnosis using immunohistochemical stain is viable. 2 The prognosis of NF is favorable: it does not develop metastases and rarely recurs. If it does recur, disease other than NF should be suspected.…”

“…Pseudodendrites, often seen with VZV corneal involvement, are reported to be small, fi ne lesions with blunt ends that stain minimally with fl uorescein, in contrast to herpes simplex virus (HSV) dendrites. 1,2 Because the therapeutic effect of antiherpetic agents such as acyclovir on VZV is generally poorer than the effect on HSV, the differential diagnosis is clinically important. However, diagnosing VZV keratitis is sometimes diffi cult, especially in patients without dermatitis (zoster sine herpete).…”

Nodular Fasciitis of the Orbit: A Case Report and Brief Review of the Literature

“…Additionally its pleomorphic spindle cell pattern and mitotic activity can histologically be confused with a fibrosarcoma or other soft tissue tumor [5, 11]. This high index of suspicion for a malignancy can lead to unnecessary aggressive treatment [12]. Imaging studies show no distinctive features to separate nodular fasciitis from other solid masses.…”