Nodular fasciitis of the infraorbital rim in an adult patient.
BACKGROUND
Nodular fasciitis is a fibroblastic proliferation in which nodules develop rapidly. It most commonly affects the extremities followed by the trunk and occasionally the head and neck.


METHODS
Case report.


RESULTS
A 32-year-old male was seen with a 4-month history of a painless infraorbital mass. On examination, a swelling was palpable anterior to the left infraorbital rim. There was some depression of the left corner of his mouth. Computerized tomography showed soft tissue swelling anterior to the left maxillary antrum which, also, appeared to be diseased. The mass was thought to be malignant owing to the short history, associated facial asymmetry and maxillary sinus opacity. Excisional biopsy was performed. Histology proved it to be nodular fasciitis.


CONCLUSIONS
The importance of otolaryngologists being aware of this entity is stressed. Simple excision, as tissue sparing as possible, is the treatment of choice.
Karagama
Yakubu G
YG
Department of Otolaryngology, Freeman Hospital, Newcastle Upon Tyne, United Kingdom.
Karkos
Petros D
PD
Smelt
Graham J
GJ
Ali
H H
HH
D000328:Adult; D005208:Fasciitis / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology; D006801:Humans; D008297:Male; D008443:Maxillary Sinus / Q000000981:diagnostic imaging; D009916:Orbital Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology; D010254:Paranasal Sinus Diseases / Q000000981:diagnostic imaging; D011859:Radiography