Dermal nodular fasciitis

Three case reports of the head and neck and literature review

Shawn Nishi, Nicole Vessels Brey, Ramon L. Sanchez

Research output: Contribution to journalArticle

33 Citations (Scopus)

Abstract

Nodular fasciitis is a benign reactive myofibroblastic proliferative process of unknown etiology. It presents as a solitary painless, rapidly growing nodule over several weeks' duration. The condition is self-limited, and proper diagnosis is essential to avoid unnecessary aggressive treatment. Diagnosis is often a challenge because it may be confused with a malignant tumor due to its aggressive clinical behavior and histological features. Immunohistochemical staining can be a useful tool to aid in the diagnosis. Although most commonly located on the extremities and then the trunk, it is estimated that the head and neck region represents only 10 to 20%. The majority of cases arise in the soft tissue, i.e. fascia, muscle, or subcutaneous tissue. Interestingly, cases in the head and neck region often involve dermal tissue. There have been five separate reports documenting rare cases of dermal nodular fasciitis in the dermatopathology literature and one case series involving 28 of 50 dermal variants from the external ear region. We report three additional cases of dermal nodular fasciitis occurring on the left cheek, base of the scalp, and right medial canthus.

Original languageEnglish (US)
Pages (from-to)378-382
Number of pages5
JournalJournal of Cutaneous Pathology
Volume33
Issue number5
DOIs
StatePublished - May 2006

Fingerprint

Fasciitis
Neck
Head
Skin
External Ear
Lacrimal Apparatus
Cheek
Fascia
Subcutaneous Tissue
Scalp
Extremities
Staining and Labeling
Muscles
Neoplasms

ASJC Scopus subject areas

  • Dermatology
  • Pathology and Forensic Medicine

Cite this

Dermal nodular fasciitis : Three case reports of the head and neck and literature review. / Nishi, Shawn; Brey, Nicole Vessels; Sanchez, Ramon L.

In: Journal of Cutaneous Pathology, Vol. 33, No. 5, 05.2006, p. 378-382.

Research output: Contribution to journalArticle

Nishi, Shawn ; Brey, Nicole Vessels ; Sanchez, Ramon L. / Dermal nodular fasciitis : Three case reports of the head and neck and literature review. In: Journal of Cutaneous Pathology. 2006 ; Vol. 33, No. 5. pp. 378-382.
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