Nodular fasciitis

Nodular fasciitis is a rapid growth, benign, soft tissue lesion that is commonly mistaken for a malignant soft tissue tumour due to its aggressive appearance. It is a self-limiting condition, which means it often resolves on its own without treatment.

Etiology

The exact cause of nodular fasciitis is unknown, but it is thought to be related to trauma or injury to the affected area. However, many patients with nodular fasciitis do not recall a specific injury.

Clinical Presentation

Nodular fasciitis typically presents as a rapidly growing, painful mass. It most commonly affects the upper extremities, but can occur anywhere in the body. The lesion is usually less than 2 cm in diameter, but can be larger.

Diagnosis

Diagnosis of nodular fasciitis is often challenging due to its aggressive appearance, which can mimic a malignant tumour. Diagnosis is usually confirmed through a biopsy of the lesion.

Treatment

As nodular fasciitis is a self-limiting condition, treatment is often not necessary. However, if the lesion is causing significant discomfort or is not resolving on its own, surgical removal may be considered.

Prognosis

The prognosis for nodular fasciitis is generally excellent. Most lesions resolve on their own within a few months, and recurrence is rare.

See Also

• Soft tissue tumour
• Benign tumour
• Malignant tumour

References

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  Fasciitis nodularis (Goldner)

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  Nodular fasciitis - low magnification
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  Nodular fasciitis - intermediate magnification
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  Fasciitis nodularis (Goldner)