• 대한두개안면성형외과학회지
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• 제15권1호
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• pp.43-46
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• 2014

Nodular fasciitis is a reactive, non-neoplastic lesion that is most commonly found in the subcutaneous or superficial fascia of the extremities and trunk. Head and neck lesions are relatively uncommon and reports vary from 7% to 15% depending on the authors. Nodular fasciitis grows quickly, and shows a pleomorphic spindle cell pattern with increased mitotic activity. Such factors lead to cases where the lesion is mistaken for a malignancy such as fibrosarcoma and the case may end up with unnecessarily aggressive treatments. The intent of this paper is to report a relatively rare case of nodular fasciitis occurring in the periorbital area and also to highlight the importance of accurate diagnosis and non-aggressive management of this benign lesion.

• Archives of Plastic Surgery
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• 제32권6호
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• pp.770-772
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• 2005

Nodular fasciitis is an unusual benign tumor which is composed of myofibroblast. Typical histologic findings include haphazardly arranged pleomorphic arranged spindle cells in a myxoid stroma. These lesions may easily be misinterpreted as malignancy clinically and histologically because it presents as a rapidly growing mass from subcutaneous or deep fascia. These lesions are usually located over upper extremity and rarely in the head and neck region. It's important to emphasize the need of clinical suspicion and accurate histopathology of this rare benign lesion usually misdiagnosed as a malignacy to avoid unnecessary and inappropriate aggressive wide resection, when encountering subcutaneous nodules of the face and neck region. In this article, we report a rare case of Nodular fasciitis on the Nose and some reviews of the literature.

• Journal of Chest Surgery
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• 제49권1호
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• pp.67-69
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• 2016

Nodular fasciitis is a benign reactive proliferation that usually involves the deep fascia. Although it is relatively common in the adult population, it is often misdiagnosed as sarcoma due to its rapid growth and pathological features. It rarely presents as a chest wall tumor in young patients. Here, we report a case of nodular fasciitis involving the chest wall of an 18-year-old woman and its surgical management. This case underscores the need to consider nodular fasciitis in the differential diagnosis of chest wall tumors in young patients.

• 대한골관절종양학회지
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• 제13권2호
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• pp.135-141
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• 2007

결절성 근막염은 섬유모세포와 근모세포의 증식에 의하여 발생하는 양성 질환으로 그 크기도 보통 3 cm 이내로 작다. 이 질환은 빠른 성장, 풍부한 세포충실성 및 유사 분열과 같은 특징들을 보일 수 있어 연부조직 육종으로 오인될 수 있다. 저자들은 기존의 보고와는 달리 그 크기가 5 cm 이상으로 큰 연부조직 육종으로 오인한 2예의 대퇴부에 발생한 결절성 근막염을 치험하였다. 그 중 1예는 임상적으로 뿐 아니라 조직학적으로까지 연부조직 육종으로 오인하였으나 외부의 숙련된 병리학자들의 도움으로 결절성 근막염으로 최종 진단되었으며, 2예 모두 2년 추시관찰에서 재발의 증거가 없었다. 저자들의 예들처럼 그 크기가 일반적인 것과는 달리 5 cm 이상으로 큰 종괴성 병변인 경우에는 연부조직 육종의 감별 진단으로서 매우 중요하기에, 대퇴부에 발생한 2예의 결절성 근막염을 문헌고찰과 함께 보고하는 바이다.

• 대한핵의학회지
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• 제39권4호
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• pp.263-265
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• 2005

A 25 years old male patient with Hodgkin's disease, considered as complete remission, underwent $^{18}F$-FDG whole body PET/CT. $^{18}F$-FDG whule body PET/CT showed unexpected hypermetabolic nodule in left quadratus femoris muscle suggesting local recurrence. Subsequent MRI also revealed well-enhancing nodular lesion with intermediate and high signal intensity on T1WI and T2WI, respectively. The lesion was confirmed as nodular fasciitis by pathologic examination of the excited specimen.

• 대한영상의학회지
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• 제84권6호
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• pp.1397-1402
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• 2023

결절성 근막염은 양성 섬유모세포 증식으로 유방에는 드물게 보고된다. 저자들은 악성 영상 소견을 보인 55세 여자 환자의 증례를 보고한다. 유방촬영술에서 오른쪽 유방에 유방조직과 비슷한 밀도를 보인 부분적으로 경계가 불명확한 결절이 보였고 인공지능 점수는 75%였다. 초음파에서 미세 소엽상 경계, 주변부 고에코를 가진 타원형의 저에코 결절이 보였고 증가된 혈류와 부드러운 탄성도를 보였다. 조직검사와 수술 후 결절성 근막염으로 진단되었다. 결절성 근막염은 유방에서 드물지만, 악성과 비슷하게 보일 수 있다. 따라서 불필요한 중재시술을 막기 위해 감별진단으로 고려되어야 한다.

• 대한영상의학회지
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• 제83권6호
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• pp.1394-1399
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• 2022

결절성 근막염은 섬유아세포 및 근섬유모세포로 이루어진 양성 증식성 병변으로 주로 상지의 연조직에서 발견된다. 이 외에도 하지 및 두경부, 그리고 드물게 유방에서의 결절성 근막염이 보고되었다. 유방의 결절성 근막염은 드물고 임상 및 영상검사상 악성 종양과 유사한 특징을 보여 종양의 감별진단 및 치료 방법을 결정함에 있어 어려움이 있다. 저자들은 영상검사상 엽상 종양으로 의심되었던 유방의 결절성 근막염 소견을 경험하여 보고하고자 한다.

• Imaging Science in Dentistry
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• 제53권1호
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• pp.83-89
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• 2023

Nodular fasciitis (NF) is a benign myofibroblastic proliferation that grows very rapidly, mimicking a sarcoma on imaging. It is treated by local excision, and recurrence has been reported in only a few cases, even when excised incompletely. The most prevalent diagnoses of temporomandibular joint(TMJ) masses include synovial chondromatosis, pigmented villonodular synovitis, and sarcomas. Cases of NF in the TMJ are extremely rare, and only 3 cases have been reported to date. Due to its destructive features and rarity, NF has often been misdiagnosed as a more aggressive lesion, which could expose patients to unnecessary and invasive treatment approaches beyond repair. This report presents a case of NF in the TMJ, focusing on various imaging features, along with a literature review aiming to determine the hallmark features of NF in the TMJ and highlight the diagnostic challenges.

• Journal of Chest Surgery
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• 제39권10호
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• pp.799-801
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• 2006

40세 여자가 앞가슴에 발생한 종양을 주소로 내원하였다. 종양은 흉벽에 생긴 결절성근막염으로 진단되었다. 결절성근막염은 섬유모세포의 증식을 특징으로 하는 드문 양성 연부조직 종양으로, 외과적 절제가 가장 효과적인 치료이다. 외과적 절제 후 저자들은 결절성근막염을 치험하였기에 문헌 고찰과 함께 이를 보고하는 바이다.

• 대한두개안면성형외과학회지
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• 제12권1호
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• pp.63-66
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• 2011

Purpose: Cranial fasciitis is a rare type of benign tumor that occurs mostly in children younger than 6 years. It arises from the deep fascia, periosteum, or fibromembranous layer that covers fontanelles. The etiology is unknown, although prior trauma has been postulated to be an underlying cause. There is a 2:1 male predominance. Despite its rapid growth, this tumor has a benign clinical course and can be cured by total excision. Methods: A 16-year-old male presented with a 3 cm-sized palpable mass in the left lateral eyebrow region that he first noticed 4 months before presentation. The mass had grown rapidly since it was first noticed. Preoperative brain computed tomography showed a well-demarcated mass approximately 3 cm in size extending from the subcutaneous layer to the periosteum. Preoperatively, the presumed diagnosis was a dermoid cyst. An operation was performed with the patient under general anesthesia. The subcutaneous mass was completely excised by periosteal dissection. Results: Histological diagnosis revealed the presence of cranial fasciitis. After 20 months of follow-up, there have been neither complications nor evidence of local recurrence besed on clinical examination. Conclusion: Although cranial fasciitis is quite rare, it should be considered in the differential diagnosis for lytic skull lesions in patient whose clinical presentation suggests this possibility. This condition could be occasionally mistaken for malignant or locally aggressive lesions. To prevent local recurrence, curettage of the underlying bone is recommended for patients with bone involvement.