| Autor: |
Bebek, Jana, Benčić, Jelena, Baković, Drago, Bebek, Mara, Mandić, Jelena Juri |
| Předmět: |
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| Zdroj: |
Lijecnicki Vjesnik; 2023 Supplement, Vol. 145, p82-83, 2p |
| Abstrakt: |
Background: Nodular fasciitis is a benign proliferation of fibroblasts and myofibroblasts in the subcutaneous tissues. Typically, it presents as a solitary, rapidly growing nodule which is often confused with malignancy. The lesions most commonly appear on the forearms, legs, and trunk, and are rarely reported to occur on the eyelids, orbit, or conjunctiva. The condition usually affects adults between the ages of 20 and 40. Aim: The aim of this case report is to point out rare diagnosis. Case Report: A 41-year-old woman presented with a 6-month history of a progressively enlarging bump on her eyelid. The patient noted that the nodule was first on the lateral side of eyelid and that it migrated medially. Examination revealed a 1.5 cm firm mass palpated near the right medial supraorbital rim penetrating deeper parts of medial upper quadrant of the orbit. Further, her eye movement and pupillary responses were unaffected, and she denied diplopia. CT and MRI showed irregular lesion in cutis and subcutaneous adipose tissue measuring approximately 1 cm. An excisional biopsy was performed, and the wound was left to heal by secondary intention until pathohistological report confirmed diagnosis that would indicate further treatment steps. The plan was either to do expanded surgery in the case of malignancy or reconstruct the defect. Histopathology and immunohistochemistry confirmed the lesion to be nodular fasciitis. On the one-week postoperative follow-up wound was healing nicely with granulation tissue. The reconstruction procedure wasn’t needed because of the excellent healing capacity of the head due to rich blood supply. Wounds located on the concave surfaces of the face usually heal with functional and cosmetic outcomes that are similar or better than those achieved by reconstruction. Conclusion: Nodular fasciitis should be included in the differential diagnosis of eyelid and orbital masses, especially in young to middle-aged individuals. Even though they are uncommon, clinical presentation is similar to malignant tumors and biopsy is needed to differentiate between those. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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