结节性筋膜炎：婴儿眼眶周围迅速增大的破坏性肿块。
Nodular fasciitis: A rapidly enlarging destructive periorbital mass in an infant.
作者信息
Tom Liu R, Henkelman Erika, Popescu Oana, Yin Vivian T
机构信息
Department of Ophthalmology and Visual Sciences, The University of British Columbia, Vancouver, Canada.
Division of Pediatric Plastic Surgery, BC Children's Hospital, Vancouver, BC, Canada.
出版信息
Am J Ophthalmol Case Rep. 2018 Apr 19;13:119-121. doi: 10.1016/j.ajoc.2018.04.019. eCollection 2019 Mar.
PURPOSE
To review the clinical and histopathological features of nodular fasciitis, a rare benign periorbital tumor that mimics orbital malignancy, by presenting a case involving an infant with marked orbital wall erosion requiring repair.
OBSERVATIONS
A 9-month-old boy developed a rapidly growing periorbital mass concerning for a soft tissue malignancy. Computerized tomography (CT) scans showed bony erosion of the lateral orbital wall. Incisional biopsy revealed nodular fasciitis. gene rearrangement was negative. The tumor was completely excised and the underlying orbital wall defect was repaired with polydioxanone (PDS) plate.
CONCLUSIONS AND IMPORTANCE
Nodular fasciitis is a benign periorbital tumor that presents like malignancies and warrants prompt investigations, especially in children. Orbital wall erosion is rare and can be repaired to yield good functional and cosmetic outcome.
目的
通过介绍一例涉及一名需要修复眼眶壁明显侵蚀的婴儿的病例，回顾结节性筋膜炎的临床和组织病理学特征，结节性筋膜炎是一种罕见的良性眶周肿瘤，可模仿眼眶恶性肿瘤。
观察结果
一名9个月大的男孩出现了一个快速生长的眶周肿块，疑似软组织恶性肿瘤。计算机断层扫描（CT）显示眶外侧壁骨质侵蚀。切开活检显示为结节性筋膜炎，基因重排为阴性。肿瘤被完全切除，并用聚二氧六环酮（PDS）板修复了潜在的眶壁缺损。
结论与重要性
结节性筋膜炎是一种良性眶周肿瘤，表现类似恶性肿瘤，需要及时进行检查，尤其是在儿童中。眼眶壁侵蚀罕见，但可通过修复获得良好的功能和美容效果。
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