Nodular fasciitis: response to intralesional corticosteroids

Area of Science:

• Orthopedics
• Dermatology
• Surgical Pathology

Background:

• Nodular fasciitis is a common benign soft-tissue neoplasm.
• It typically presents as a rapidly growing subcutaneous mass, often on the extremities.
• Standard management involves surgical excision, which can be challenging for infiltrative lesions.

Observation:

• A case of nodular fasciitis presenting as a rapidly enlarging subcutaneous mass on the arm is described.
• The infiltrative nature of the lesion posed management challenges.

Findings:

• Intralesional corticosteroid injections were administered directly into the nodular fasciitis lesion.
• The treatment resulted in a rapid and complete resolution of the mass.

Implications:

• Intralesional corticosteroid injection is a viable, minimally invasive alternative to surgery for nodular fasciitis.
• This approach may be particularly beneficial for large or infiltrative lesions where surgery is complex.
• Further studies are warranted to evaluate the efficacy and long-term outcomes of corticosteroid injections in managing nodular fasciitis.