Description of a Rare Case of Nodular Fasciitis of the Apical Aspect of the Upper Buccal Sulcus

Souza, Ana Amélia; Neto, Eldon Guttenberg Cariri; Araújo, Vera Cavalcanti de; Passador-Santos, Fabrício; Alves, Maria Teresa de Seixas; Soares, Andresa Borges

doi:10.1155/2016/4231683

Cited by 6 publications

(4 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In this case, the spindle-shaped myofibroblast-like cells stained positive for smooth muscle actin. This was also observed in the cases that were reported by lloyd et al, Ikebe et al and Souza et al [4,17,18] however, NF has to be distinguished from other benign tumors of myofibroblastic origin. Inflammatory myofibroblastic tumor (IMT) is generally larger than NF, tends to occur at a younger age, and is composed of longer fascicles of spindle cells in an inflammatory background that is rich in plasma cells.…”

Section: Commentarysupporting

confidence: 57%

Oral nodular fasciitis – A case report with a diagnostic schema

Rathna

Mathew

Kudva

et al. 2019

J Oral Med Oral Surg

View full text Add to dashboard Cite

Introduction: The spectrum of myofibroblastic lesions of the oral cavity ranges from reactive to benign to malignant lesions with overlapping histopathologic and immunohistologic characteristics posing a diagnostic dilemma. Observation: A 30-year-old male presented with a spontaneous swelling over the right lower buccal gingiva giving a clinical suspicion of a benign mesenchymal tumor. The lesion presented with a varied biphasic microscopic appearance that posed as a challenge for diagnosis. Commentaries: The incisional biopsy of the lesion showed a highly collagenous stroma with spindle-shaped cells, while the excision biopsy revealed myxoid and hyalinized stroma. A panel of markers comprising of SMA (smooth muscle actin). CD-34, β-Catenin, and Alcian blue stain was employed to arrive at a diagnosis. Conclusion: Most myofibroblastic lesions present with diverse histological appearance which warrants a thorough assessment of the cellular and stromal components for an accurate diagnosis.

show abstract

Section: Commentarysupporting

confidence: 57%

Oral nodular fasciitis – A case report with a diagnostic schema

Rathna

Mathew

Kudva

et al. 2019

J Oral Med Oral Surg

View full text Add to dashboard Cite

show abstract

“…The nodular fasciitis diagnosis was generally based on a CT scan, sometimes associated with an MRI scan, ultrasound image and/or incisional biopsy. The gold standard therapy is surgical resection as documented by the literature 1,2,5–59 . In five cases, the authors preferred a wait‐and‐see approach, 3,11,60,61 while in another seven cases, the authors reported a spontaneous regression of the pathology 42 .…”

Section: Discussionmentioning

confidence: 99%

Nodular fasciitis in cervicofacial region: a rare case description and literature review

Abbate¹,

Orabona²,

Audino³

et al. 2021

Oral Surgery

View full text Add to dashboard Cite

Nodular fasciitis is a relatively rare pathology, first described by Konwaler in 1955, which derives from an uncontrolled fibroblastic proliferation. Many authors have described this pathology in the literature, considering previous trauma as a predisposing condition. It predominantly afflicts males between the 2nd and 4th decade of life. A rapid growth, high cellularity and infiltrative borders are the main characteristics of this fasciitis. Even though it can be ubiquitous, the head and neck regions are affected in about 13–37% of cases. The symptoms and signs depend on the localization and size of the neoplasm in relation to the surrounding noble structures, which can suffer on account of the compressive action of the mass. The gold standard treatment is surgical removal. In a very few cases, local recurrences have been described. In this article, we present a case treated by means of a minimally invasive, endoscopically assisted, surgical approach, together with providing a comprehensive literature review that collects data about all the cases afflicting the cervicofacial region described to date. To the best of our knowledge, this is the first case of nodular fasciitis located in the submandibular region approached via an endoscopically assisted, minimally invasive, surgical technique.

show abstract

“…Typical histologic findings include a myxoid and, in some cases, highly cellular stroma, exhibiting abundant mitotic activity, with the absence of cellular atypia. Myxoid degeneration may also be observed, while other areas are more fibrotic and hyalinized, displaying evidence of adjacent microhemorrhage with granulation tissue [14]. Differential diagnoses are sarcoma with differentiation to myofibroblasts, such as low-grade myofibroblastic sarcoma, undifferentiated pleomorphic sarcoma, and deep fibrous histiocytoma.…”

Section: Discussionmentioning

confidence: 99%

Giant Protruding Nodular Fasciitis of the Anterior Chest Wall Clinically Mimicking a Soft Tissue Sarcoma

Kinoshita

Yonemoto

Kamoda

et al. 2019

Case Reports in Orthopedics

View full text Add to dashboard Cite

Nodular fasciitis (NF) is a benign reactive proliferation of myofibroblasts that predominantly occurs subcutaneously. Commonly, it presents as a rapidly growing swelling in 4-8 weeks. NF mostly occurs in adults aged 20-50 years and usually has a diameter<3‐4 cm. Giant NF with a diameter>4 cm is rare. Owing to its rapidly growing nature, a precise clinical diagnosis is difficult; it is frequently misdiagnosed as an aggressive or malignant tumor. Herein, we present the case of a 15-year-old male who presented with a large protruding mass on the anterior chest wall. The tumor appeared clinically malignant as it was protruding and had doubled in size within a few weeks, reaching approximately 8×6 cm. Furthermore, the tumor separated and fell off spontaneously due to its large size. As the remaining tumor continued to grow rapidly, surgery was performed. Following wide tumor resection, no recurrence, metastases, or other complications were noted 1 year postsurgery. NF was diagnosed after pathological evaluation, including immunohistochemical analysis, molecular genetic testing, and cytogenetic testing via fluorescence in situ hybridization analysis. Knowledge of the atypical clinical course and a combination of histopathological examinations are necessary to accurately diagnose NF.

show abstract

Description of a Rare Case of Nodular Fasciitis of the Apical Aspect of the Upper Buccal Sulcus

Cited by 6 publications

References 25 publications

Oral nodular fasciitis – A case report with a diagnostic schema

Oral nodular fasciitis – A case report with a diagnostic schema

Nodular fasciitis in cervicofacial region: a rare case description and literature review

Giant Protruding Nodular Fasciitis of the Anterior Chest Wall Clinically Mimicking a Soft Tissue Sarcoma

Contact Info

Product

Resources

About