Nodular fasciitis of the tongue. Issue 1 (18th July 2015)

• Record Type: Journal Article
• Authors: Celentano, Antonio; Mascolo, Massimo; De Rosa, Gaetano; Mignogna, Michele Davide
• Is Part Of: Head & neck. Volume 38:Issue 1(2016)
• Page Start: E29
• Page End: E31
• Publication Date: 2015-07-18
• Subjects: nodular fasciitis -- tongue -- lingual fasciitis -- mesenchymal neoplasm -- pseudosarcomatous fibromatosis; Head -- Diseases -- Periodicals; Neck -- Diseases -- Periodicals; Head -- Periodicals; Neck -- Periodicals; Face -- Periodicals; 617.51059
• DOI: 10.1002/hed.24088
• Languages: English
• ISSNs: 1043-3074

Abstract

Abstract: Background: Nodular fasciitis is a non‐neoplastic proliferation within the subcutaneous tissue and the deep fascia of the fibroblasts, probably of a reactive nature characterized by apparent infiltration of the connective tissues by a mitotically active spindle cell lesion. Nodular fasciitis in the head/neck region is rarely found and only 2 previous cases affecting the tongue have been reported. Methods and Results: The purpose of this study was for us to report a very rare case of a 67‐year‐old man with a history of a 3‐month subepithelial asymptomatic nodule of the tongue tip with an ulcerated surface. An excisional biopsy of the mass was performed with 0.5‐mm surgical margins. Conclusion: The clinical and histological features of nodular fasciitis may mimic a head and neck malignancy, but it is often misdiagnosed as a malignant mesenchymal neoplasm. Even if it is a rare entity, nodular fasciitis should be considered in cases of rapidly growing masses of the head and neck region. © 2015 Wiley Periodicals, Inc. Head Neck 38: E29–E31, 2016