Shupak Raymond P, Horswell Bruce B, Shaffer Marcus D, Plata Milton J
University of Pittsburgh Medical Center -Department of Oral and Maxillofacial Surgery, Pittsburgh, PA, 15213, United States.
Charleston Area Medical Center - Department of Cleft and Craniofacial Surgery, Charleston, WV, United States.
Int J Pediatr Otorhinolaryngol. 2018 Oct;113:99-101. doi: 10.1016/j.ijporl.2018.07.030. Epub 2018 Jul 24.
Nodular fasciitis is a benign lesion uncommonly found in the head and neck region. Although described previously in adults, there have been no reports of nodular fasciitis in a child's tongue. A 4 month old male infant was referred for evaluation of a rapidly growing tongue lesion. He underwent excisional biopsy of the lesion. Initial pathology suggested a spindle cell tumor. Subsequent outside facility molecular testing was obtained and Nodular Fasciitis was confirmed. Nodular fasciitis is a rare benign tumor that can be often mistaken for malignancy. Special histochemical and molecular testing is required to obtain final diagnosis.
结节性筋膜炎是一种良性病变,在头颈部区域较少见。虽然此前在成人中有过描述,但尚无儿童舌部结节性筋膜炎的报道。一名4个月大的男婴因舌部病变迅速增大前来就诊。他接受了病变的切除活检。最初的病理检查提示为梭形细胞瘤。随后在外部机构进行了分子检测,确诊为结节性筋膜炎。结节性筋膜炎是一种罕见的良性肿瘤,常易被误诊为恶性肿瘤。需要进行特殊的组织化学和分子检测才能得出最终诊断。