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  • Title: Nodular fasciitis of the forehead in a pediatric patient.
    Author: Handa Y, Asai T, Tomita Y.
    Journal: Dermatol Surg; 2003 Aug; 29(8):867-8. PubMed ID: 12859391.
    Abstract:
    BACKGROUND: Nodular fasciitis is a benign fibroblastic proliferation in soft tissue that is frequently misdiagnosed as a sarcoma. Most patients are middle aged, and the upper extremity is the most common localization. Nodular fasciitis is rarely diagnosed in childhood but appears in the head and neck region more commonly in children than in adults. OBJECTIVE: To describe a rare case of nodular fasciitis of the forehead in a pediatric patient. RESULTS: A 15-year-old female had been aware of a subcutaneous nodule with subtle tenderness on the forehead for 4 months. The patient had no history of trauma. The nodule was totally excised with a narrow margin and was histopathologically diagnosed as nodular fasciitis. No recurrence was observed for 22 months. CONCLUSION: When we encounter subcutaneous nodules of the face and neck region in children, it is important for dermatologists to keep nodular fasciitis in mind for differential diagnosis to avoid unnecessary wide resection.
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