Nodular fasciitis of soft tissue over the mandible

Daniel Yeomans; Ali Qureishi; Ketan Shah; Stuart Winter

doi:10.1136/bcr-2017-220611

Nodular fasciitis of soft tissue over the mandible

BMJ Case Rep. 2017 Oct 9:2017:bcr2017220611. doi: 10.1136/bcr-2017-220611.

Authors

Daniel Yeomans¹, Ali Qureishi¹, Ketan Shah¹, Stuart Winter^{1

2}

Affiliations

¹ Department of Head and Neck Surgery, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
² Nuffield Department of Surgical Sciences, University of Oxford, Oxford, UK.

Abstract

Nodular fasciitis (NF) is an unusual, benign condition which can mimic more sinister, sarcomatous lesions both clinically and histologically. This case report presents a 35-year-old male, with a rapidly growing mass on the border of his left mandible, referred to a specialist head and neck unit. The initial presentation, radiology and cytology were initially inconclusive and the possibility of a malignant process was considered. Final histology was that of NF, the treatment of which is complete surgical excision. Therefore, NF is an important differential to consider when assessing similar clinical presentations, as highlighted in this case report.

Keywords: ear, nose and throat; head and neck cancer; pathology; radiology (diagnostics).

Publication types

Case Reports

MeSH terms

Adult
Diagnosis, Differential
Fasciitis / diagnosis*
Humans
Male
Mandibular Diseases / diagnosis*
Mandibular Neoplasms / diagnosis*
Soft Tissue Neoplasms / diagnosis*