Dahl I, Jarlstedt J
Acta Otolaryngol. 1980;90(1-2):152-9. doi: 10.3109/00016488009131711.
Nodular fasciitis, a benign, pseudosarcomatous proliferative lesion of the soft tissue, is frequently misinterpreted as sarcoma, both clinically and microscopically. A series of 18 cases of nodular fasciitis in the head and neck region is presented. The clinical observations and the light microscopy are described. Ten out of the 18 cases were situated deep in the soft tissue; six were located close to the mandible and another 6 along the sternocleido mastoid muscle, seeming to support the view that nodular fasciitis may be ascribed to a reparative response to local mechanical events caused by injury. The diagnosis and differential diagnosis in relation to other benign and malignant tumours occurring in the region are discussed. The importance of otolaryngologists being aware of the existence of this entity in this area of the body is stressed. Follow-up information for 12 of the patients confirmed a perfectly benign clinical course, and simple excision, as tissue-sparing as possible, is therefore the treatment of choice.
结节性筋膜炎是一种软组织的良性、假肉瘤样增生性病变，在临床和显微镜检查中常被误诊为肉瘤。本文报道了18例头颈部结节性筋膜炎病例。描述了临床观察结果和光镜检查情况。18例中有10例位于软组织深部；6例靠近下颌骨，另外6例沿胸锁乳突肌分布，这似乎支持结节性筋膜炎可能归因于对损伤引起的局部机械性事件的修复反应这一观点。讨论了与该区域发生的其他良性和恶性肿瘤相关的诊断及鉴别诊断。强调了耳鼻喉科医生了解身体该部位存在这种病变的重要性。对12例患者的随访信息证实其临床过程完全良性，因此，尽可能保留组织的简单切除是首选治疗方法。
