Journal of Clinical Otolaryngology Head and Neck Surgery

The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery

J Clin Otolaryngol Head Neck Surg 2015; 26(2):317-321

pISSN: 1225-0244, eISSN: 2713-833X

DOI: https://doi.org/10.35420/jcohns.2015.26.2.317

증례

경부의 종물로 발견된 결절성 근막염 1예

변영석¹, 임성직², 이영찬¹^,^*

A Case of Nodular Fasciitis Presenting as a Mass in Neck

Young Seok Byun¹, Sung Jik Lim², Young Chan Lee¹^,^*

¹경희대학교 의과대학 이비인후-두경부외과학교실

²병리학교실

¹Department of Otorhinolaryngology-Head and Neck Surgery, School of Medicine, Kyung Hee University, Seoul, Korea

²Department of Pathology, Kyung Hee University Hospital at Gangdong, Kyung Hee University, Seoul, Korea

^*교신저자: 이영찬, 05278 서울 강동구 동남로 892 경희대학교 의과대학 강동경희대학교병원 이비인후-두경부 외과학교실 전화 :(02) 440-6257·전송:(02) 440-7336 E-mail:medchan@hanmail.net

© Copyright 2015 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Mar 06, 2015; Revised: May 19, 2015; Accepted: Oct 02, 2015

Published Online: May 31, 2020

ABSTRACT

Nodular fasciitis is a benign proliferative fibroblastic lesion that was unknown of etiology. It is easily seemed like sarcoma and is misdiagnosed of malignancy. The patient clinically present with pain and swelling. Nodular fasciitis mainly present aggressive growing, movable, solitary subcutaneous lesion of extremities and trunks in young adults. Nodular fasciitis of the head and neck region is 10-20% in overall and mainly in infants and children, rare in adults. We report the case of a 51-year-old woman who had lobulating mass in right cervical region. Computed tomography (CT) showed focal infiltrating marginated, multilobular, heterogenous enhancing solid mass (5.0×4.5×5.0 cm) at right upper anterior neck space. And biopsy was reported uniform spindle cells in the collagenous stroma with scattered extravasated red blood cells and focal loosely textured area of stroma. Surgical excision was done. At follow up, no other complications or recurrence were observed. Thus we present the case and a review of the literature. (J Clinical Otolaryngol 2015;26:317-321)

Keywords: 결절성 근막염; 경부; 종물

Keywords: Nodular fasciitis; Mass; Neck