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A rapidly progressing mass of nasal cavity in a child: Nodular fasciitis
Yujie Chen1, Wei Lv1, Zhenzhen Zhu1
1Department of Otolaryngology, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, China.
Abstract:
Nodular fasciitis (NF) is a benign, self-limiting, reactive soft tissue tumor that is composed of fibroblasts and myofibroblasts and is often misdiagnosed as a malignant lesion. Nodular fasciitis is often reported in adults but rarely seen in children. We report the case of a 3-year-old girl with a rapidly growing NF in the left nasal cavity. The initial biopsy suggested the possibility of a spindle cell tumor or low-grade malignant tumor, respectively. The child underwent complete excision of the tumor. With the help of immunohistochemistry and pathological consultation, the final diagnosis was confirmed as NF. There was no recurrence during an 18-month follow-up period.
Insights
Nodular fasciitis (NF), a rare soft tissue tumor in children, can mimic malignancy. This case highlights a 3-year-old girl with rapidly growing nasal NF, successfully treated with complete excision and confirmed via pathology.
Area of Science:
- Oncology
- Pathology
- Pediatric Surgery
Background:
- Nodular fasciitis (NF) is a benign soft tissue tumor typically seen in adults.
- NF is characterized by fibroblasts and myofibroblasts and can be misdiagnosed as malignant.
- Pediatric cases of NF are uncommon, particularly in the nasal cavity.
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