Arch Craniofac Surg.
2014 Apr;15(1):43-46. 10.7181/acfs.2014.15.1.43.
Nodular Fasciitis of the Periorbital Area
- Affiliations
-
- 1Department of Plastic and Reconstructive Surgery, Bucheon St. Mary's Hospital, The Catholic University of Korea College of Medicine, Bucheon, Korea. psyjkim@catholic.ac.kr
- 2Department of Pathology, Bucheon St. Mary's Hospital, The Catholic University of Korea College of Medicine, Bucheon, Korea.
- KMID: 1703362
- DOI: http://doi.org/10.7181/acfs.2014.15.1.43
Abstract
- 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.
