Najihah Binti Nordin*, Razak I, Roslim-Siti Norain and Shahrul H

Otorhinolaryngology Department, Hospital Ampang, Selangor, Malaysia

*Corresponding Author: Najihah Binti Nordin, Otorhinolaryngology Department, Hospital Ampang, Ministry of Health Malaysia, Selangor, Malaysia.

Received: June 10, 2021; Published: July 19, 2021

Abstract

Background: Nodular fasciitis is a benign soft tissue lesion caused by reactive proliferative fibroblast mainly according to literature triggered by trauma. Morphologically it mimics sarcoma hence also called pseudosarcoma. It is commonly seen in upper and lower extremities, as well as the trunk but rarely in the head and neck region. We are reporting a rare presentation of nodular fasciitis seen over right maxillary region.

Case Report: A 27-year-old chronic smoker male presented with 3-month history of gradual increasing in size of painless right maxillary mass with history of trauma to the face more than 6 months prior to presentation with no other significant history. On examination there was a swelling seen over right maxillary region measuring 3 cm x3cm, which was mobile with firm to hard in consistency, non-tender with no overlying skin changes. Computed Tomography of the paranasal sinuses showed a well-defined round heterogeneously enhancing subcutaneous soft tissue lesion seen at the right anterior maxillary region measuring 1.8 cm X 2.0 cm with no bony invasion, or calcification seen. Fine Needle Aspiration and Cytology revealed spindle cell lesion. Patient underwent tumor excision via sublabial approach and hhistologically reported as nodular fasciitis with positive for SMA (smooth-muscle specific actin) stain. Patient recovered fully postoperatively and no recurrence upon subsequent follow up.

Conclusion: In conclusion, although Nodular Fasciitis is uncommonly seen over head and neck region, it should always be considered as one of the differential diagnosis especially for any painless subcutaneous mass. A thoughtful consideration and careful work up should be done to obtain a proper diagnosis and treatment of this favorable lesion as the prognosis is good with low recurrence rate.

Keywords: Nodular Fasciitis; Fibroblast; Trauma; Pseudosarcoma

References

1. Spinelli N and Khorassani N. “Nodular fasciitis: an uncommon disease with common medical management challenges at a remote Naval Hospital”. Military Medicine9 (2013): e1051-e1054.
2. Vyas T., et al. “Nodular fasciitis of the zygoma: a case report”. The Canadian Journal of Plastic Surgery 16 (2008): 241-243.
3. Sung TK., et al. “Nodular Fasciitis in the Head and Neck: CT and MR Imaging Findings”. American Journal Of Neuroradiology10 (2005): 2617-2623.
4. Khanna V., et al. “Nodular fasciitis mimicking a soft tissue sarcoma - A case report”. International Journal of Surgery Case Reports 44 (2018): 29-32.

Citation

Citation: Najihah Binti Nordin., et al. “An Unusual Presentation of Nodular Fasciitis: A Rare Case".Acta Scientific Otolaryngology 3.8 (2021): 75-77.

Copyright

Copyright: © 2021 Najihah Binti Nordin., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.