Nodular fasciitis of the face: A case report.

INTRODUCTION

Nodular fasciitis is a benign, self-limited myofibroblastic proliferative lesion of unclear aetiology. It is often misdiagnosed as a malignant tumour due to its rapid growth, high cellularity, and increased mitotic activity.

PRESENTATION OF CASE: We present a case of nodular fasciitis occurring in the medial canthus of a 64-year-old, otherwise healthy, woman. The patient complained of rapidly enlarging asymptomatic subcutaneous nodule over a period of 6 months. The tumour was firm, smooth, and indolent with limited mobility. Fine-needle aspiration was inconclusive, and the CT scan showed a well-defined nodular lesion in the soft tissue without bone destruction. A local excision was performed, and the histopathological findings were consistent with nodular fasciitis.

DISCUSSION: Although rare, nodular fasciitis is the most common pseudosarcoma of soft tissues. Local excision is recommended; however, the tumour often regresses spontaneously, and recurrence is exceedingly rare.

CONCLUSION

Awareness of nodular fasciitis and its benign nature is essential to avoid misdiagnosis and subsequent inappropriate aggressive treatment of the patient.