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A Deceptive Lesion

Laurence J. DiNardo, MD; Ralph F. Wetmore, MD; William P. Potsic, MD

Arch Otolaryngol Head Neck Surg. 1991;117(9):1001-1002.

Abstract
• Nodular fasciitis represents a discrete, benign, presumably reactive proliferation of fibroblasts. However, its rapid rate of growth and a sarcomatous histologic appearance are often deceptive. Multiple pathologic reviews are frequently conducted in an attempt to distinguish nodular fasciitis from other lesions. Such confusion is especially problematic in the pediatric otolaryngic population in which nodular fasciitis is not commonly encountered and mesenchymal malignancies of the head and neck are of fundamental concern. Between 1976 and 1988, 12 cases of nodular fasciitis were diagnosed at the Children's Hospital of Philadelphia (Pa). Six children presented with head and neck lesions and ranged from 6 to 13 years of age. The clinical and histopathologic features of these cases are reviewed.

(Arch Otolaryngol Head Neck Surg. 1991;117:1001-1002)

Author Affiliations
From the Department of Otorhinolaryngology and Human Communication, Children's Hospital of Philadelphia and the University of Pennsylvania School of Medicine, Philadelphia.

Footnotes
Accepted for publication October 15, 1990.

Presented in part at the annual meeting of the American Society of Pediatric Otolaryngology, May 18, 1990, Toronto, Ontario.

Reprint requests to Department of Otolaryngology, Children's Hospital of Philadelphia, 34th Street at Civic Center Boulevard, Philadelphia, Pa 19104 (Dr Wetmore).

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