Nodular fasciitis of the external auditory canal in six Egyptian children

Abdel‐Aziz, Mosaad; Khattab, H. M.; Elbosraty, Hussam; El-Hoshy, Hassan; Hesham, Ahmed; Al-taweel, Hayam W.

doi:10.1016/j.ijporl.2008.01.023

Cited by 11 publications

(12 citation statements)

References 10 publications

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“…Nodular fasciitis (NF) is a benign, self‐limited fibroblastic/myofibroblastic proliferation most commonly occurring in the upper extremities (volar aspect of the forearm), trunk, and back in adults. However, numerous additional locations have been described, including the parotid gland, external ear, oral cavity, and breast . Furthermore, children most commonly develop lesions in the head and neck region .…”

Section: Introductionmentioning

confidence: 99%

Nodular fasciitis: A frequent diagnostic pitfall on fine‐needle aspiration

Allison

Wakely

Siddiqui

et al. 2016

Cancer Cytopathology

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BACKGROUND: Nodular fasciitis (NF) is a benign, self-limited, fibroblastic/myofibroblastic proliferation that is diagnostically challenging, often mimicking a malignant process due to its rapid growth clinically and its high cellularity, mitotic activity, and variable/nonspecific cytomorphologic findings. Herein, the authors report what to their knowledge is the largest and first multi-institutional study of the cytomorphologic characteristics of NF by fine-needle aspiration (FNA). METHODS:The pathology archives at The Johns Hopkins Hospital, The Ohio State University Wexner Medical Center, and Emory University Hospital were searched for soft tissue FNA cytology specimens of masses confirmed to be NF. The clinical history, actual FNA diagnosis, and cytomorphologic features were recorded by the authors. RESULTS: A total of 34 patients were identified, 33 of which had material available for review. The mean age of the patients was 40 years (range, 1-80 years); 18 patients (52.9%) were male. The mean duration of symptoms was 3.75 months. Four cases (11.8%) and 2 cases (5.9%) were signed out as NF and "malignant neoplasm, NOS [not otherwise specified]," respectively. On average, cases were hypercellular (mean, 3.27/4). Thirty cases (90.9%) contained spindled morphology, whereas 30 cases (90.9%) and 28 cases (84.4%) contained cells with unipolar and curved cytoplasmic tails, respectively. Eccentric, ovoid, and spindled/elongated nuclei were observed in 31 cases (93.9%), 30 cases (90.9%), and 29 cases (87.9%), respectively.Nineteen cases (57.6%) lacked atypia. CONCLUSIONS: In the current study, the diagnosis of NF was suggested in nearly 40% of cases. Combining the clinical presentation with the most commonly described cytomorphologic features will appropriately triage the majority of cases, although uncertainty will remain in a significant number of cases. Cancer Cytopathol 2017;125:20-9.

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Section: Introductionmentioning

confidence: 99%

Nodular fasciitis: A frequent diagnostic pitfall on fine‐needle aspiration

Allison

Wakely

Siddiqui

et al. 2016

Cancer Cytopathology

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“…Fifteen percent of cases occur in the subcutaneous tissues of the head and neck, half of which are found in children, showing a predilection for this anatomical site in the younger population [11][12][13]. Most commonly, the cranium is involved [14], but other sites such as the external auditory canal [15], dermis and the eyelids have been described [12,16].…”

Section: Discussionmentioning

confidence: 99%

Neonatal nodular fasciitis of the larynx

Svrakic

Bent

Adler

2009

International Journal of Pediatric Otorhinolaryngology

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“…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%

“…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 ]. This case report aimed at presenting the clinical and surgical management of a case of NF in a 4-year-old female, who presented the lesion in the external auditory canal (EAC); moreover, we reviewed the literature to identify similar cases previously described.…”

Section: Introductionmentioning

confidence: 99%

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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Nodular fasciitis of the external auditory canal in six Egyptian children

Cited by 11 publications

References 10 publications

Nodular fasciitis: A frequent diagnostic pitfall on fine‐needle aspiration

Nodular fasciitis: A frequent diagnostic pitfall on fine‐needle aspiration

Neonatal nodular fasciitis of the larynx

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

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