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Child abuse masquerading as a soft tissue sarcoma.

Lauren Strazzula1, Sheila Greenlaw, Sara O Vargas

  • 1UMass Memorial Healthcare, University of Massachusetts Medical School, Worcester, Massachusetts.

Pediatric Dermatology
|September 12, 2014
PubMed
Summary
This summary is machine-generated.

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Pediatric nodular fasciitis, a rare benign lesion, can mimic sarcoma. This case highlights a 5-month-old infant diagnosed with nodular fasciitis following nonaccidental trauma.

Area of Science:

  • Pediatric Pathology
  • Dermatopathology
  • Skeletal Muscle Pathology

Background:

  • Pediatric fasciitides are uncommon benign soft tissue lesions.
  • Nodular fasciitis is the most frequent type, typically affecting adults.
  • Infantile nodular fasciitis is rare, especially in infants under 5 years.

Observation:

  • A 5-month-old male infant presented with a lesion suspicious for malignancy.
  • Clinical presentation included a history suggestive of trauma.
  • The lesion was located in the pediatric population.

Findings:

  • Histopathological examination confirmed nodular fasciitis.
  • The diagnosis was established in the context of nonaccidental trauma.
  • This represents a rare occurrence of nodular fasciitis in an infant.

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Implications:

  • Nodular fasciitis should be considered in the differential diagnosis of pediatric soft tissue masses.
  • Awareness of this condition is crucial for accurate diagnosis in infants.
  • The association with nonaccidental trauma necessitates careful clinical evaluation.