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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Nash, Robert Babu, Satish Shenoy, Ravikiran Weir, Justin |
| Description | Author Affiliation: Babu S ( Imperial College Healthcare NHS Trust, London, UK.); Nash R ( Imperial College Healthcare NHS Trust, London, UK.); Shenoy R ( Imperial College Healthcare NHS Trust, London, UK.); Weir J ( Imperial College Healthcare NHS Trust, London, UK.) |
| Abstract | A 73-year-old man presented to ENT clinic with a painless, smooth lump overlying his right cheek. Fine needle aspiration wrongly diagnosed necrotising malignancy with squamous differentiation. MRI showed a lesion overlying the right masseter, and positron emission tomography scanning incorrectly suggested this was a metabolically active lymph node. After surgical excision, immunohistochemical analysis showed this was in fact nodular fasciitis of the masseter. Nodular fasciitis is a rare, benign, proliferative lesion whose clinical and histological features make it difficult to distinguish from malignancies such as sarcoma. Immunohistochemical analysis for markers including vimentin and actin is crucial for diagnosis. Without this, misdiagnoses are common and patients are at risk of unnecessarily aggressive treatment. This case report summarises the epidemiological, aetiological and clinical features of nodular fasciitis, explores the pitfalls of investigation modalities and describes its management. |
| Volume Number | 2015 |
| e-ISSN | 1757790X |
| Journal | BMJ Case Reports |
| Language | English |
| Publisher | BMJ Publishing Group Ltd. |
| Publisher Place | Great Britain (UK) |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Facial Dermatoses Diagnosis Surgery Fasciitis Aged Diagnostic Errors Humans Magnetic Resonance Imaging Male Masseter Muscle Positron-Emission Tomography Treatment Outcome Case Reports Journal Article Multidisciplinary |
| Content Type | Text |
| Resource Type | Article |
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