Nodular Fasciitis of the Orbit.
A 13-month-old boy was presented with new onset proptosis of the right eye. CT scan and MRI showed an enhancing mass in the right superior orbit with local bone remodeling and erosion. A craniotomy was performed for biopsy and sub-total resection. Histopathology and immunohistochemistry confirmed the lesion to be nodular fasciitis. Nodular fasciitis lesions are classically found in the anterior ocular adnexa, especially in pediatric patients. This is the first reported case of nodular fasciitis arising in the posterior orbit of a child younger than 16.
*Department of Ophthalmology and Visual Sciences, University of Louisville; †Pediatric and Perinatal Pathology Associates, PSC, Louisville, Kentucky; and ‡Oculofacial and Orbital Surgery, Indianapolis, Indiana, U.S.A.
Christopher J
CJ
Compton
Jeremy D
JD
Clark
Matthew P
MP
Thompson
Hui Bae H
HB
Lee
William R
WR
Nunery
D001706:Biopsy; D003937:Diagnosis, Differential; D005208:Fasciitis / Q000175:diagnosis*; D006801:Humans; D007223:Infant; D008279:Magnetic Resonance Imaging; D008297:Male; D009915:Orbit / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed