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Nodular fasciitis: a sarcomatous impersonator. J Pediatr Surg 2009 May;44(5):e17-9

Date

05/13/2009

Pubmed ID

19433154

DOI

10.1016/j.jpedsurg.2009.01.047

Scopus ID

2-s2.0-65449160882   28 Citations

Abstract

Reports of nodular fasciitis among adults are common; however, this condition is relatively rare in the pediatric population. Its clinical and histologic characteristics are similar to malignancies such as sarcoma; thus, it is prudent for the clinician caring for children and adolescents to be aware of the possibility of its occurrence. Nodular fasciitis is a benign mesenchymal tumor. Often presenting as a rapidly enlarging soft tissue mass, clinically, it can easily be mistaken as a sarcoma or other malignancy during clinical evaluation. In addition, the pathologist may recognize its high cellularity, high mitotic index, and infiltrative borders, which, as a result, may lead to erroneous diagnosis as a malignancy. Although more frequently seen in adults, it does occur in the pediatric population and should be considered during evaluation and treatment of soft tissue masses in children and adolescents.

Author List

Tomita S, Thompson K, Carver T, Vazquez WD

Author

Thomas W. Carver MD Associate Professor in the Surgery department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adolescent
Cell Nucleolus
Child
Chromatin
Diagnosis, Differential
Erythrocytes
Fasciitis
Forehead
Humans
Male
Mitotic Index
Nerve Sheath Neoplasms
Retrospective Studies
Sarcoma
Thoracic Wall
jenkins-FCD Prod-387 b0ced2662056320369de4e5cd5f21c218c03feb3