Novel presentation of cranial fasciitis of the mandible: Case report and literature review

Champlain, Katie de; Kurek, Kyle C.; Yunker, Warren K.

doi:10.1016/j.ijporl.2018.09.011

Cited by 6 publications

(6 citation statements)

References 50 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In addition to these four features, our case revealed that the presence of a hyperplastic periosteum with reactive ossification is an important feature of PF and can be used for the diagnosis of PF. Periosteal reactions were also observed in two other PFs that occurred in the pediatric mandible [ 1 , 10 ]. In general, peripheral reactions of NF other than PF are not detected histologically.…”

Section: Discussionmentioning

confidence: 92%

See 1 more Smart Citation

A case of periosteal fasciitis located in the mandible in a child

et al. 2021

View full text Add to dashboard Cite

Periosteal fasciitis (PF), a subtype of nodular fasciitis, is an uncommon benign soft-tissue mass that originates from the periosteum or tissues adjacent to bones. PF has rarely seen in children, especially involving in the mandible. This case report presents a rare case of PF originating from the periosteum of the mandible in an 11-year-old girl. She was referred to our hospital with fast-growing painless swelling in her left mandible. Computed tomography revealed an exophytic juxtacortical mass eroding the lower part of the left mandible and lower mandibular cortex with a periosteal reaction. The mass showed low signal intensity on T1-weighted magnetic resonance imaging (MRI) and high signal intensity on T2-weighted MRI. The apparent diffusion coefficient (ADC) of the lesion found to be moderate. Dynamic contrast-enhanced MRI revealed a gradual increment pattern in the central region of the mass. On 18F-fluorodeoxyglucose (FDG) positron-emission tomography/computed tomography (PET/CT), relatively high 18F-FDG uptake was observed on the early scan and the 18F-FDG uptake was declined on the delayed scan. The clinical and conventional radiological findings of the mass were suggestive of malignancy. However, the findings of ADC and dynamic MRI and dual-time-point FDG-PET/CT favored benign etiology over malignant etiology. Histological and immunohistochemical findings along with reactive ossification of the periosteum confirmed the diagnosis of PF. Currently, comprehensive examinations, such as clinical, imaging, and histopathological examinations, are recommended for the definitive diagnosis of PF, while MRI and dual-time-point FDG-PET/CT could have a potential usefulness to differentiate from malignancy.

show abstract

Section: Discussionmentioning

confidence: 92%

“…To the best of our knowledge, in pediatric population, only three mandibular PF patients, including our case, have appeared in the literature [ 1 , 10 ]. All three patients had a similar clinical feature of rapidly growing painless swelling, leading to concerns for high-grade malignant neoplasms such as sarcoma.…”

Section: Discussionmentioning

confidence: 99%

A case of periosteal fasciitis located in the mandible in a child

et al. 2021

View full text Add to dashboard Cite

show abstract

“…Cranial fascitis is a rare non-neoplastic disease characterized by fibroblast/ myofibroblast hyperplasia, with <80 cases reported at present. 1 Unlike NF, CF is generally confined to the soft tissues of the scalp or skull and most often occurs in infants and young children. The ratio of males to females was close to 1.5:1.…”

Section: Discussionmentioning

confidence: 99%

“…Cranial fascitis was differentiated from other types of reactive lesions or tumors that occur in the scalp or skull of infants. (1) Proliferative fasciitis or proliferative myositis in children: 13 Similar to CF, it had rapid growth in a short period and mucinous matrix in histologic morphology, and many large polygonal cells like ganglion cells were scattered in the differential characteristics. Immunohistochemistry showed that spindle cells mainly expressed Vimentin and SMA.…”

Section: Discussionmentioning

confidence: 99%

Infantile Cranial Fasciitis: A Clinicopathologic Evaluation

Cao

Yang

Chen

et al. 2023

Journal of Craniofacial Surgery

View full text Add to dashboard Cite

Objective: To investigate the clinicopathologic features, immunophenotype, molecular genetic changes, and differential diagnosis of cranial fasciitis (CF). Methods: The clinical manifestations, imaging, surgical technique, pathologic characteristics, special staining, and immunophenotype, as well as break-apart fluorescence in situ hybridization assay for USP6 of 19 CF cases were analyzed, retrospectively. Results: The patients were 11 boys and 8 girls, aged 5 to 144 months, with a median age of 29 months. There were 5 cases (26.31%) in the temporal bone, 4 cases (21.05%) in the parietal bone, 3 cases (15.78%) in the occipital bone, 3 cases (15.78%) in the frontotemporal bone, 2 cases (10.52%) in the frontal bone, 1 case (5.26%) in the mastoid of middle ear, and 1 case (5.26%) in the external auditory canal. The main clinical manifestations were painless, with the presentation of masses that grew rapidly and frequently eroded the skull. There was no recurrence and no metastasis after the operation. Histologically, the lesion consists of spindle fibroblasts/myofibroblasts arranged in bundles, braided or atypical spokes. Mitotic figures could be seen, but not atypical forms. Immunohistochemical studies showed diffuse strong positive SMA and Vimentin in all CFs. These cells were negative for Calponin, Desmin, β-catenin, S-100, and CD34. The ki-67 proliferation index was 5% to 10%.Ocin blue-PH2.5 staining showed blue-stained mucinous features in the stroma. The positive rate of USP6 gene rearrangement detected by fluorescence in situ hybridization assay was about 10.52%, and the positive rate was not related to age. All patients were observed for 2 to 124 months and showed no signs of recurrence or metastasis. Conclusions: In summary, CF was a benign pseudosarcomatous fasciitis that occurs in the skull of infants. Preoperative diagnosis and differential diagnosis were difficult. Computed tomography typing might be beneficial for imaging diagnosis, and pathologic examination might be the most reliable way to diagnose CF.

show abstract

“…However, this may be related to the small number of our patients. The temporal and parietal regions are the most commonly affected areas of CF [ 8 ], but they can occur in any location of the skull, even presenting as an intracranial mass [ 9 , 10 ]. In this study, a total of 18 lesions were detected in 14 patients, including 7 lesions at the parietal, 5 lesions at the frontal and occipital regions, and only 1 lesion at the temporal region.…”

Section: Discussionmentioning

confidence: 99%

Cranial fasciitis in children: clinicoradiology features and management

Xiang

Zhou

et al. 2022

BMC Pediatr

View full text Add to dashboard Cite

Background Cranial fasciitis (CF) is a rare benign fibroproliferative lesion of the skull. To date, the summarized radiologic characteristics and the subtype of the disease have not been reported. our purpose was to summarize the characteristic clinicoradiology features and management of CF and to improve the knowledge of radiologists and clinicians. Methods We searched our institution’s database and retrieved the clinical and radiologic data of CF patients confirmed by histopathological examination. The clinicoradiology features and management of CF were analysed retrospectively. Results A total of 14 CF patients were included. A total of 85.7% of the patients presented with a painless, firm, nonmobile and single mass. Tenderness and multiple masses were found in 14.3% of the patients. The mass was clearly increased in 2 patients and gradually increased in 5 patients in the short term. We divided these patients into three types based on the CT characteristics. The characteristic features of type I (9 patients) presented as an expansive and osteolytic bone destruction with a soft tissue mass. Type II (2 patients) presented as a scalp mass with mild erosion of the outer skull plate. Type III (3 patients) presented as a scalp mass without skull destruction. All patients underwent surgical resection. For type I patients, craniectomy and cranioplasty were performed. For type II patients, complete excision of the scalp mass with local skull curettage was performed. For type III patients, complete excision of the scalp mass was performed. There were no cases of recurrence after follow-up. Conclusions CF usually presents as a painless, firm, nonmobile and single mass with a clear boundary. There are generally three types of MSCT findings: bone destruction with a soft tissue mass, a scalp mass with erosion of the skull and a scalp mass. Different management strategies should be utilized for the various types of CF.

show abstract

Novel presentation of cranial fasciitis of the mandible: Case report and literature review

Cited by 6 publications

References 50 publications

A case of periosteal fasciitis located in the mandible in a child

A case of periosteal fasciitis located in the mandible in a child

Infantile Cranial Fasciitis: A Clinicopathologic Evaluation

Cranial fasciitis in children: clinicoradiology features and management

Contact Info

Product

Resources

About