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Periorbital nodular fasciitis: a case report.
Saad Algarni1, Hatim Hassan Najmi2, Hend Alsawadi3
1Department of Ophthalmology, Dhahran Eye Specialist Hospital, Dhahran, Saudi Arabia.
BMC Ophthalmology
|February 10, 2025
Summary
Nodular fasciitis (NF), a rare benign tumor, can occur in the periorbital region. This case highlights a gradually enlarging subbrow mass diagnosed as NF via biopsy, emphasizing its rarity and diagnostic challenges.
Area of Science:
- Ophthalmology
- Pathology
- Oncology
Background:
- Nodular fasciitis (NF), or pseudosarcoma fasciitis, is a benign fibrovascular proliferation.
- It commonly affects the trunk and upper extremities but rarely occurs in the orbit.
- NF can be mistaken for sarcoma due to its cellularity and mitotic activity.
Purpose of the Study:
- To report a rare case of nodular fasciitis in the periorbital region.
- To discuss the diagnostic challenges and management of orbital NF.
Main Methods:
- A case study of a 41-year-old male with a left medial subbrow mass.
- Ophthalmic examination, CT scan with contrast, debulking, and incisional biopsy were performed.
- Histopathological findings confirmed nodular fasciitis.
Main Results:
- A 1x2 cm firm, oval mass was identified in the left superior orbital rim.
- CT revealed a well-demarcated, peripherally enhancing para-orbital soft tissue lesion.
- Histopathology confirmed nodular fasciitis.
Conclusions:
- Nodular fasciitis is an uncommon benign tumor in the periorbital area.
- Diagnosis can be challenging due to non-specific imaging features.
- Complete local excision or debulking is the typical management approach.
