Related Experiment Video
Updated: Jun 21, 2026
07:58
Stromal Vascular Fraction-enriched Fat Grafting for the Treatment of Symptomatic End-neuromata
Published on: November 23, 2017
Nodular fasciitis: differential considerations and current management strategies
Stephen R Grobmyer1, Jacquelyn A Knapik, Robin M Foss
1Division of Surgical Oncology, Department of Surgery, University of Florida, Gainesville, Florida, USA. stephen.grobmyer@surgery.ufl.edu
The American Surgeon
|August 7, 2009
Summary
Nodular fasciitis (NF) can mimic soft tissue sarcoma, posing diagnostic challenges. Early recognition and appropriate management are crucial for patients presenting with these soft tissue masses.
Area of Science:
- Oncology
- Pathology
- Radiology
Background:
- Nodular fasciitis (NF) presents as a rapidly growing soft tissue mass.
- Imaging findings of NF can be mistaken for soft tissue sarcoma or desmoid tumors.
- Accurate diagnosis and management of NF can be challenging due to its variable presentation.
Observation:
- Two cases of nodular fasciitis were initially diagnosed as soft tissue sarcoma.
- Case 1: A 46-year-old woman with a chest wall mass misdiagnosed as sarcoma.
- Case 2: A 65-year-old woman with an infraclavicular mass also suspected as sarcoma.
Findings:
- Core biopsy in Case 1 suggested inflammation only.
- Preoperative biopsy in Case 2 suggested NF.
- Both patients underwent surgical excision, confirming nodular fasciitis as the final diagnosis.
Implications:
- These cases underscore the importance of considering NF in the differential diagnosis of soft tissue masses.
- Highlighting clinical challenges in evaluating and managing patients with suspected soft tissue tumors.
- Emphasizing the need for comprehensive diagnostic approaches, including biopsy and histopathological examination, for definitive NF diagnosis.
Related Concept Videos
01:17Pericarditis III: Medical Management
The primary objectives of managing pericarditis are to determine the underlying cause, provide effective therapy for treatment and symptom relief, and promptly detect signs and symptoms of cardiac tamponade. The following outlines the essential aspects of medical management for pericarditis:ObjectivesDetermine the Cause: Identifying the underlying cause of pericarditis is crucial for targeted treatment. Causes include viral infections, autoimmune diseases, post-cardiac injury syndrome, and...
01:14Myocarditis III: Medical Management
Myocarditis: Comprehensive Medical ManagementMyocarditis, the heart muscle inflammation, requires a comprehensive medical management strategy that addresses the underlying cause, provides supportive care, manages symptoms, and reduces cardiac workload.Infections and Autoimmune CausesAdminister appropriate antimicrobial therapy when an infectious agent causes myocarditis. For instance, penicillin treats infections caused by Group A Streptococcus. In cases where autoimmune processes are...
01:21Rheumatic Heart Disease III: Medical Management
Rheumatic heart disease (RHD) management can be divided into two main strategies: prevention and long-term management.Primary PreventionPrimary prevention focuses on timely diagnosis and management of group A streptococcal pharyngitis to prevent acute rheumatic fever. The most widely used antibiotic for treating this condition is intramuscular benzathine penicillin G.Acute Rheumatic Fever TreatmentThe primary treatment goal for a patient diagnosed with acute rheumatic fever is to suppress the...
01:21Inflammatory Bowel Disease V: Surgical Management
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
01:22Myocarditis IV: Nursing Management
Myocarditis is an inflammatory condition of the myocardium requiring meticulous nursing management for optimal patient outcomes. Effective management begins with a thorough assessment of the patient's medical history, paying close attention to past infections, autoimmune disorders, travel history, and exposure to toxins or drugs. Recent viral infections and systemic diseases are particularly relevant due to their potential role in triggering myocarditis.Physical Examination and MonitoringThe...
01:20Rheumatic Heart Disease IV: Nursing Management
AssessmentA comprehensive assessment is essential in managing a patient with rheumatic heart disease (RHD). Begin with obtaining a detailed medical history, including recent streptococcal infections, a history of rheumatic fever, or previously diagnosed rheumatic heart disease. Assess the patient for symptoms such as fever, chest pain, widespread joint pain (arthralgia), tachycardia, pericardial friction rub, muffled heart sounds, heart murmurs, peripheral edema, subcutaneous nodules, and...