Nodular Fasciitis as a Pseudosarcomatous Lesion in the Ligamentum Nuchae: A Case Report
Journal of Korean Society of Spine Surgery
;
: 114-117, 2015.
Article
in English
| WPRIM
| ID: wpr-22232
ABSTRACT
STUDY DESIGN:
A case report.OBJECTIVES:
Nodular fasciitis is a non-neoplastic soft-tissue lesion located in the deep subcutaneous region; it may be misdiagnosed as a malignant tumor due to its rapid growth and microscopic characteristics. We introduce an unusual case of nodular fasciitis which presented as a posterior neck mass. SUMMARY OF LITERATURE REVIEW Nodular fasciitis is an unusual benign lesion.Becaue it sometimes shows aggressive microscopic characteristics, (being hypercellular and polymorphic), the condition has the potential to be misdiagnosed as sarcoma. MATERIALS ANDMETHODS:
A 20-year-old woman presented with a 1-month history of a progressively enlarging mass on her posterior neck. Computed tomography (CT) scans of the neck showed a markedly enhanced, well-defined, ovoid soft tissue mass at the posterior of the spinous process of C2. The patient underwent marginal excision. There was a 2 cm, well-capsulated, pinkish-gray mass.RESULTS:
She recovered without any complications. Histopathologic examination showed a spindle cell proliferation, increased cellularity, and nuclear atypia with mitosis. The immunohistochemistry stain showed negative findings. The mass was diagnosed as nodular fasciitis.CONCLUSIONS:
A diagnosis of nodular fasciitis, not just malignant tumor, should be considered for a rapidly growing posterior neck mass showing aggressive microscopic appearance, Nodular fasciitis is a self-limiting lesion readily treated by marginal excision. However, follow-ups should be increased to watch for recurrence.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Recurrence
/
Sarcoma
/
Immunohistochemistry
/
Follow-Up Studies
/
Cell Proliferation
/
Diagnosis
/
Fasciitis
/
Mitosis
/
Neck
Type of study:
Diagnostic study
/
Observational study
/
Prognostic study
Limits:
Female
/
Humans
Language:
English
Journal:
Journal of Korean Society of Spine Surgery
Year:
2015
Type:
Article
Similar
MEDLINE
...
LILACS
LIS