NODULAR FASCIITIS IN A 2-YEAR-OLD PATIENT: A CHALLENGING DIAGNOSIS
| Autor: | Jean Nunes dos Santos, Edval Reginaldo Tenório Júnior, Bráulio Carneiro Júnior |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Incisional biopsy medicine.diagnostic_test business.industry Nodular fasciitis Submandibular space medicine.disease Palpation Bone erosion Pathology and Forensic Medicine Masticatory force Lesion medicine Immunohistochemistry Radiology Nuclear Medicine and imaging Dentistry (miscellaneous) Surgery Radiology Oral Surgery medicine.symptom business |
| Zdroj: | Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology. 130:e118 |
| ISSN: | 2212-4403 |
| Popis: | Nodular fasciitis is a rare fibroblastic proliferative lesion, characterized as a solitary mass of hardened consistency, painless, without predilection of gender, and rapid growth. The patient 2 years old, presented at the buccomaxillofacial surgery service with important volume increase in the right submandibular region, with 6-month evolution. Clinically, the lesion was hard at palpation, painless, and without changes in the oral cavity. Computed tomography showed an expansive lesion in the right masticatory and submandibular spaces and well-defined and regular contours, associated with important bone erosion. The surgeon performed an anatomopathologic exam through incisional biopsy; the lesion then showed fibroblastic/myofibroblastic proliferation, and, through immunohistochemistry study, it showed positivity for Smooth Muscle Actin antibodies (SMA). The therapeutic plan performed was complete removal of the lesion under general anesthesia through the submandibular space. The latest anatomopathologic and immunohistochemical exams confirmed the findings of the older exams. The patient is now at the 2-year follow-up without recurrence of the lesion. |
| Databáze: | OpenAIRE |
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