Magnetic resonance imaging findings of nodular fasciitis in the mental region

Katada, Tsutomu; Tsuchimochi, Makoto; Oda, Tetsuji; Sasaki, Y.; Toyama, Michio; Katagiri, Masataka

doi:10.1007/s10266-004-0042-5

Cited by 16 publications

(7 citation statements)

References 15 publications

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“…Most commonly it is located on the upper extremities and trunk. Only 45 cases of oral NF have been reported between 1966 and 2013, of which only 1 was present on the lower lip mucosa . NF does not commonly occur in the oral cavity because it is thought to arise from fascia, which is not prominent in this area …”

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confidence: 99%

Nodular fasciitis of the lip mucosa: a rare but clinically important entity

2015

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Oral nodular fasciitis (NF) is a rare benign entity of significant clinical importance, which presents as a rapidly growing soft tissue mass. Awareness of this entity is essential, because histologically it resembles a malignancy at first glance, owing to its spindled histological nature and numerous typical mitoses. Thus, it is often misdiagnosed as an aggressive sarcoma, resulting in unnecessary radical surgery. In total, 45 cases of oral NF have been reported since 1966, of which only 2 were reported in the dermatological literature. Patients with NF of the lip mucosa will frequently present to a dermatologist. Therefore, it is critical that dermatologists recognize this benign neoplasm to correctly manage it and avoid potentially catastrophic unnecessary surgery, as these lesions typically spontaneously resolve. We describe the clinical, histological and immunohistochemistry findings of NF in a 51-year-old woman, and discuss its differential diagnosis.

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confidence: 99%

Nodular fasciitis of the lip mucosa: a rare but clinically important entity

2015

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“…The intramuscular subtype, instead, has radiological aspects compatible with a hypodense and ill-defined mass on CT scans and hyperintense to muscle on both T1-weighted and T2-weighted images. [15][16][17] In some cases, the imaging examinations have shown a perilesional infiltration and bone erosion, which has influenced the treatment. Positron emission tomography (PET) CT scans, when performed, have shown an increased uptake of F-18-fluorodeoxyglucose (FDG) demarcating the lesion.…”

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confidence: 99%

Nodular fasciitis in cervicofacial region: a rare case description and literature review

Abbate¹,

Orabona²,

Audino³

et al. 2021

Oral Surgery

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Nodular fasciitis is a relatively rare pathology, first described by Konwaler in 1955, which derives from an uncontrolled fibroblastic proliferation. Many authors have described this pathology in the literature, considering previous trauma as a predisposing condition. It predominantly afflicts males between the 2nd and 4th decade of life. A rapid growth, high cellularity and infiltrative borders are the main characteristics of this fasciitis. Even though it can be ubiquitous, the head and neck regions are affected in about 13–37% of cases. The symptoms and signs depend on the localization and size of the neoplasm in relation to the surrounding noble structures, which can suffer on account of the compressive action of the mass. The gold standard treatment is surgical removal. In a very few cases, local recurrences have been described. In this article, we present a case treated by means of a minimally invasive, endoscopically assisted, surgical approach, together with providing a comprehensive literature review that collects data about all the cases afflicting the cervicofacial region described to date. To the best of our knowledge, this is the first case of nodular fasciitis located in the submandibular region approached via an endoscopically assisted, minimally invasive, surgical technique.

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“…It can develop in any area but there is a prevalence of observed cases in the upper extremities and the trunk [ 5 , 6 , 7 ]. Only approximately 7% of nodular fasciitis are found on the head and neck areas and such cases generally occur in young children [ 5 , 6 , 7 , 8 , 9 ]. Nodular fasciitis is especially uncommon in the periorbital area, only accounting for less than 1% of all periorbital masses [ 1 ].…”

Section: Discussionmentioning

confidence: 99%

Nodular Fasciitis of the Periorbital Area

Lee

Kim

Lee

et al. 2014

Arch Craniofac Surg

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Nodular fasciitis is a reactive, non-neoplastic lesion that is most commonly found in the subcutaneous or superficial fascia of the extremities and trunk. Head and neck lesions are relatively uncommon and reports vary from 7% to 15% depending on the authors. Nodular fasciitis grows quickly, and shows a pleomorphic spindle cell pattern with increased mitotic activity. Such factors lead to cases where the lesion is mistaken for a malignancy such as fibrosarcoma and the case may end up with unnecessarily aggressive treatments. The intent of this paper is to report a relatively rare case of nodular fasciitis occurring in the periorbital area and also to highlight the importance of accurate diagnosis and non-aggressive management of this benign lesion.

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Magnetic resonance imaging findings of nodular fasciitis in the mental region

Cited by 16 publications

References 15 publications

Nodular fasciitis of the lip mucosa: a rare but clinically important entity

Nodular fasciitis of the lip mucosa: a rare but clinically important entity

Nodular fasciitis in cervicofacial region: a rare case description and literature review

Nodular Fasciitis of the Periorbital Area

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