Pediatric Nodular Fasciitis in the Head and Neck

Hseu, Anne; Watters, Karen; Perez‐Atayde, Antonio R.; Silvera, V. Michelle; Rahbar, Reza

doi:10.1001/jamaoto.2014.2797

Cited by 52 publications

(47 citation statements)

References 21 publications

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“…The literature reports complications of surgery mostly similar to ours: wound infection, incorrect healing with scar formation, and numbness or tenderness of the overlying skin [21]. Most of our patients were discharged from hospital on the 2nd or 3rd postoperative day with no complications.…”

Section: Discussionsupporting

confidence: 58%

Clinical Characteristics of Benign Pediatric Cranial Vault Tumors: Surgical Considerations Based on 100 Cases

Skadorwa

Ciszek²

2016

Pediatr Neurosurg

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Background/Aims: Tumors of the cranial vault occur at every age of childhood. Although they are mostly benign lesions, their symptomatology is variable and requires extended diagnostics. The choice of therapeutic strategy strongly depends on histopathological diagnosis, and therefore surgical excision is the elective treatment in such cases. Despite several published papers, the literature still lacks reliable clinical characteristics regarding this heterogeneous group of lesions in pediatric patients. Methods: We present a series of 100 children (55 male, 45 female) with scalp and cranial vault masses (average age: 3.6 years; range: 1 month to 17 years). Eighty-three (83%) patients underwent surgical excision. Demographic data, clinical presentation, diagnostic studies, choice of therapy, and the results of treatment were evaluated. Results: All removed tumors were benign pathologies: pilar cysts (30%), epidermoid/dermoid cysts (21%), vascular malformations (11%), inflammatory tumors (5%), and dysraphic remnants (2%). However, underlying bone destruction was observed in 61% of cases. Cranial extension occurred in 34%. Recurrence was noted in 1 case. Conclusions: Cranial vault tumors are characterized by constant growth and may penetrate the cranial cavity. Delayed surgery increases the risk of intracranial complications. Surgical problems include inappropriate planning, higher risk of intraoperative bleeding, and the need for subsequent cranioplasty.

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Section: Discussionsupporting

confidence: 58%

Clinical Characteristics of Benign Pediatric Cranial Vault Tumors: Surgical Considerations Based on 100 Cases

Skadorwa

Ciszek²

2016

Pediatr Neurosurg

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“…Nodular fasciitis is most commonly seen in adults on the upper extremities in the third to fifth decades of life and has no sex predominance; 10% of reported cases are in the pediatric population . A history of trauma to the affected site is thought to be a risk factor for NF, but many reported cases have no history of injury . Clinically, it commonly presents as a solitary, rapidly growing subcutaneous nodule.…”

Section: Discussionmentioning

confidence: 99%

“…2 A history of trauma to the affected site is thought to be a risk factor for NF, but many reported cases have no history of injury. 3 Clinically, it commonly presents as a solitary, rapidly growing subcutaneous nodule. Mild discomfort or pain can be associated with the lesion.…”

Section: His Tolog Ic Finding Smentioning

confidence: 99%

Enlarging facial soft tissue mass in an infant

Agnihothri

Katzman

Morrison

et al. 2019

Pediatric Dermatology

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“…Evidence to support this theory is questionable both in ocular and nonocular nodular fasciitis. Indeed, several recent case series in pediatric nodular fasciitis have shown minimal to no history of trauma [ 11 , 12 , 13 ]. Of these 23 reported cases, only 1 had a history of trauma and 1 had a history of localized infection.…”

Section: Discussionmentioning

confidence: 99%

Epibulbar Nodular Fasciitis

Massop¹,

Frederick²,

Li³

et al. 2016

Case Rep Ophthalmol

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Purpose: To report a case of epibulbar nodular fasciitis in a 32-year-old female and provide context by reviewing the current literature. Results: Using excisional biopsy, the patient was successfully diagnosed and treated for epibulbar nodular fasciitis. Upon follow-up, there has been no recurrence, consistent with the typical course for nodular fasciitis. Conclusions: Epibulbar nodular fasciitis is a rare process that can be successfully treated by surgical resection. While two cases of trauma-associated epibulbar nodular fasciitis have been present in the literature, our case did not have such a history. The etiology of nodular fasciitis remains unclear.

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Pediatric Nodular Fasciitis in the Head and Neck

Cited by 52 publications

References 21 publications

Clinical Characteristics of Benign Pediatric Cranial Vault Tumors: Surgical Considerations Based on 100 Cases

Clinical Characteristics of Benign Pediatric Cranial Vault Tumors: Surgical Considerations Based on 100 Cases

Enlarging facial soft tissue mass in an infant

Epibulbar Nodular Fasciitis

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