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Published on: November 4, 2025
[Cranial fasciitis of childhood]
D Blanchard1, R Hibon, M Hitier
1CHU Côte de Nacre, Service ORL et de Chirurgie Cervico-Faciale, 14033 Caen, France.
Insights
Cranial fasciitis is a rare, benign tumor in children that rapidly grows on the head and neck. Surgical resection is the best treatment, with no local recurrence observed.
Area of Science:
- Pediatric Pathology
- Surgical Oncology
- Head and Neck Surgery
Background:
- Cranial fasciitis is a rare benign fibroblastic tumor.
- It typically affects the head and neck region in young children.
Observation:
- A case of cranial fasciitis in a 13-month-old boy is presented.
- The tumor exhibited rapid growth and bone erosion, leading to potential misdiagnosis as sarcoma.
Findings:
- Cranial fasciitis is a rapidly growing, benign tumor within the nodular fasciitis group.
- It commonly occurs in the head and neck of young children.
- Complete surgical resection with adequate margins is the recommended treatment.
- No local recurrence was noted after surgery.
Implications:
- Accurate pathological diagnosis of cranial fasciitis can be challenging.
- Early and correct diagnosis is crucial for appropriate management.
- Surgical intervention offers a favorable prognosis with no recurrence.
Objective:
To describe the clinical and pathological features of cranial fasciitis of childhood, and to review and compare this case with those of international literature.
Methods:
We report a case of cranial fasciitis of childhood located on the face of a 13-month-old boy. A complete review was performed from the database "Pub Med", looking for the key words "head and neck inflammatory myofibroblastic tumour", "nodular fasciitis", "cranial fasciitis of childhood".
Results:
Cranial fasciitis is benign rapidly growing fibroblastic tumour, belonging to the group of nodular fasciitis, and has a predilection for the head and neck region of young children. This tumour is highly cellular and often show striking erosion of bone often misdiagnosed as a sarcoma. Surgery with adequate resection margin is the best treatment. There is no tendency for local recurrence.
Conclusion:
Positive pathological diagnosis of cranial fasciitis is uncommon and may be difficult.
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