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Nodular fasciitis.

M J Cyriac¹, M I Celine, George Kurien

¹Department of Dermatology, Medical College, Kottayam, Kerala, India. drmjcyriac@hotmail.com

Indian Journal of Dermatology, Venereology and Leprology

|July 24, 2007

Summary

Nodular fasciitis, a rare soft tissue tumor, presented as a solitary dermal nodule in a young woman. Surgical excision was successful, with no recurrence observed, highlighting its benign nature.

Area of Science:

Dermatology
Pathology
Surgical Oncology

Background:

Nodular fasciitis is a benign, proliferative soft tissue lesion.
It can mimic malignant tumors, necessitating accurate diagnosis.
Rarely reported in Indian medical literature.

Purpose of the Study:

To report a rare case of nodular fasciitis in a young female.
To highlight diagnostic challenges and successful management.

Main Methods:

Clinical presentation of a firm, hyperpigmented, tender dermal nodule.
Radiographic evaluation (X-ray) to rule out calcification.
Histopathological examination of biopsy revealing pleomorphic fibroblasts in mucoid stroma.

Main Results:

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Diagnosis confirmed as nodular fasciitis.
The lesion extended into the subcutaneous tissue.
Complete excision with no recurrence after follow-up.

Conclusions:

Nodular fasciitis can present as a solitary dermal nodule.
Prompt diagnosis and surgical management lead to favorable outcomes.
This case underscores the importance of considering nodular fasciitis in the differential diagnosis of soft tissue tumors.