Archives of Craniofacial Surgery  2014;15(1):43-46

doi:10.7181/acfs.2014.15.1.43

Nodular Fasciitis of the Periorbital Area.

Yoon Jae LEE 1 ; Sue Min KIM ; Jung Ho LEE ; Young Joon JUN ; Young Jin KIM ; Jeana KIM

Affiliations

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Keywords

Nodular fasciitis; Pseudosacrcoma; Soft tissue tumor

Country

Republic of Korea

Language

English

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.