Congenital cranial fasciitis--''watch and wait'' or early intervention.
Cranial fasciitis is a rare variant of nodular fasciitis of childhood, a benign condition cured by surgical excision. Recently, spontaneous involution has been reported and a ''watch and wait'' approach was recommended. We report an instance of a congenital cranial fasciitis that grew rapidly during a 10-month follow-up after fine needle aspiration and incisional biopsy. Conservative surgical excision was curative with no recurrence over a follow-up period of 4 years. Therefore, we recommend that early excision may be necessary in lieu of a ''watch and wait'' approach for large, rapidly growing cranial fasciitis.
Oh
Chang-Keun
CK
Department of Dermatology, School of Medicine, Pusan National University, Busan, Korea. ckoh@pusan.ac.kr
Whang
So-Min
SM
Kim
Byoung-Gyun
BG
Ko
Hyun-Chang
HC
Lee
Chang-Hoon
CH
Kim
Hak Jin
HJ
Kim
Yong Woo
YW
Kwon
Kyung-Sool
KS
D005208:Fasciitis / Q000151:congenital* / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007223:Infant; D008279:Magnetic Resonance Imaging; D008297:Male; D010290:Parents; D012886:Skull / Q000473:pathology / Q000601:surgery*; D013997:Time Factors; D014056:Tomography, X-Ray; D016312:Treatment Refusal