Carr M M, Fraser R B, Clarke K D
Department of Otolaryngology, Dalhousie University, Halifax, Nova Scotia, Canada.
Head Neck. 1998 Oct;20(7):645-8. doi: 10.1002/(sici)1097-0347(199810)20:7<645::aid-hed12>3.0.co;2-c.
Nodular fasciitis is a common pathologic entity in the limbs of adults but rare in the head and neck of children. It is defined by the World Health Organization as a benign and probably reactive fibroblastic growth extending as a solitary nodule from superficial fascia into subcutaneous tissue. Treatment is local excision, and recurrence is rare.
Case Report
A 3.5-year-old boy was initially seen with a 1-year history of gradually enlarging but otherwise asymptomatic right facial mass. On examination, a firm nodule was palpable anterior to the right ear, and facial movement was symmetrical. Computed tomography showed a rounded, well-defined solid mass continuous with the parotid fascia. The patient underwent superficial parotidectomy without complication. The pathology was reported as nodular fasciitis, and the child has had no clinical recurrence over 2 years.
Benign lesions in this region in children may present similarly to malignancies but require much more-conservative treatment.
结节性筋膜炎是成人四肢常见的病理实体，但在儿童头颈部罕见。世界卫生组织将其定义为一种良性且可能为反应性的成纤维细胞增生，以孤立结节形式从浅筋膜延伸至皮下组织。治疗方法为局部切除，复发罕见。
病例报告
一名3.5岁男孩最初因右侧面部肿块逐渐增大1年就诊，无其他症状。检查时，右耳前方可触及一个质地坚硬的结节，面部运动对称。计算机断层扫描显示一个圆形、边界清晰的实性肿块，与腮腺筋膜相连。患者接受了浅叶腮腺切除术，无并发症。病理报告为结节性筋膜炎，该患儿2年来无临床复发。
儿童该区域的良性病变可能与恶性肿瘤表现相似，但需要更保守的治疗。
