Krishnamurthy Arvind, Deen Suhail, Majhi Urmila
Division of Surgical Oncology, Cancer Institute (WIA), 38, Sardar Patel Rd, Adyar, Chennai, 600036 India.
J Maxillofac Oral Surg. 2016 Jul;15(Suppl 2):328-31. doi: 10.1007/s12663-015-0864-4. Epub 2015 Dec 10.
Nodular fasciitis is a benign proliferative spindle-cell lesion that presents as a rapidly growing mass arising from the subcutaneous fascia, leading it to be erroneously diagnosed as a sarcoma. These lesions commonly present in individuals in their third to fifth decades of life with no definite gender predilection. They are frequently located on the extremities and the trunk and infrequently in the head and neck region. Lesions in the orofacial region are uncommon. We describe an interesting case of orofacial nodular fasciitis in a 21-year-old boy that essentially summarises the clinical features and management of this pseudosarcomatous reactive proliferative lesion. Clinicians and more so maxillofacial surgeons need to be aware of the distinctions between nodular fasciitis and its malignant mimic (sarcomas) in order to limit overtreatment and the resultant treatment-related morbidities.
结节性筋膜炎是一种良性增生性梭形细胞病变，表现为起源于皮下筋膜的快速生长肿块，常被误诊为肉瘤。这些病变常见于30至50岁的人群，无明显性别倾向。它们常位于四肢和躯干，很少见于头颈部。口面部区域的病变并不常见。我们描述了一例21岁男孩的口面部结节性筋膜炎有趣病例，该病例基本概括了这种假肉瘤性反应性增生病变的临床特征及治疗方法。临床医生尤其是颌面外科医生需要了解结节性筋膜炎与其恶性模仿病变（肉瘤）之间的区别，以避免过度治疗及由此产生的与治疗相关的并发症。
