Overview
Nodular fasciitis is a benign fibroblastic proliferation commonly found in soft tissues, characterized by rapid growth and self-limiting nature. It can occur in various locations, including unusual sites such as the scalp in newborns and oral cavity 12.Diagnosis
Clinical Presentation: Sudden appearance of a small lump without obvious cause 2.
Histological Features: Characterized by proliferation of fibroblasts with a storiform pattern, often initially alarming but ultimately diagnostic of nodular fasciitis 2.
Imaging: Not typically required but may show a well-defined mass 12.
Biopsy: Essential for definitive diagnosis, distinguishing from sarcomas 2.Management
Surgical Excision: Local removal is curative; recurrence is rare following complete excision 2.
No Additional Therapy: Generally no need for adjuvant treatments such as chemotherapy or radiation 2.Special Populations
Pediatrics: Can occur in newborns, presenting as scalp lesions 1.
Recurrence: Not reported in pediatric cases within the follow-up period 1.Key Recommendations
Perform a biopsy for definitive diagnosis to differentiate from malignant lesions (Evidence: Moderate 2).
Surgical excision is recommended for definitive treatment, with close follow-up to ensure no recurrence (Evidence: Moderate 2).
No adjuvant therapies are necessary following surgical removal (Evidence: Expert opinion 2).References
1 Barohn RJ, Kasdon DL. Cranial fasciitis: nodular fasciitis of the head. Surgical neurology 1980. link
2 Larsson A, Svartz K. Nodular fascitis in the oral cavity. International journal of oral surgery 1976. link80060-9)