title: [Exulcerated, nodular tumor on the occiput of a 29-year-old patient].
abstract: Cranial fasciitis is a rare variation of nodular fasciitis that occurs in the region of the capillitium. We report on a 29-year-old patient who presented with a 2-month history of a tumor progressively increasing in size located on the occiput. Histological examination revealed a tumor, consisting of tightly packed spindle-shaped cells with underlying myxoid stroma, which extended from the dermis to the subcutis. Actin and vimentin were detected by immunohistochemistry. We established a diagnosis of cranial fasciitis and excised the tumor. Especially when a child or young adult presents with a tumor in the skull area, consideration should be given to cranial fasciitis in the differential diagnosis to avoid unnecessary and possibly very invasive treatment approaches.
authors.affiliation: Klinik für Dermatologie, Venerologie und Allergologie, Universitätsmedizin Mannheim, Medizinische Fakultät Mannheim, Ruprecht-Karls-Universität Heidelberg, Theodor-Kutzer-Ufer 1-3, 68135, Mannheim, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Linke
authors.forename: C
authors.initials: C
authors.lastname: Géraud
authors.forename: W K
authors.initials: WK
authors.lastname: Peitsch
authors.forename: S
authors.initials: S
authors.lastname: Goerdt
authors.forename: C-D
authors.initials: CD
authors.lastname: Klemke
authors.forename: J
authors.initials: J
authors.lastname: Utikal
mesh_terms: D000328:Adult; D001706:Biopsy; D003937:Diagnosis, Differential; D005208:Fasciitis / Q000175:diagnosis* / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D012535:Scalp / Q000473:pathology; D012536:Scalp Dermatoses / Q000175:diagnosis* / Q000473:pathology; D012883:Skin Ulcer / Q000175:diagnosis* / Q000473:pathology