Intra–muscular Nodular Fasciitis Presenting as Swelling in Neck: Challenging Entity for Diagnosis
The diagnosis of Nodular Fasciitis is a very challenging on cytological aspirations. Even in histopathological sections, it can be sometimes be mistaken for soft tissue sarcomas due to its high cellularity, presence of mitotic figures, poor circumscription and degenerative myxoid areas. Most commo...
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JCDR Research and Publications Private Limited
2014-01-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://jcdr.net/articles/PDF/3909/46-6424_E(C)_F(T)_PF1(VP)_FA(T)_PF1(PUH).pdf |
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| author | Sankappa P. Sinhasan Bharathi K.V. Ramachandra V. Bhat Basavanandaswamy C. Hartimath |
| author_facet | Sankappa P. Sinhasan Bharathi K.V. Ramachandra V. Bhat Basavanandaswamy C. Hartimath |
| author_sort | Sankappa P. Sinhasan |
| collection | DOAJ |
| description | The diagnosis of Nodular Fasciitis is a very challenging on cytological aspirations. Even in histopathological sections, it can be sometimes
be mistaken for soft tissue sarcomas due to its high cellularity, presence of mitotic figures, poor circumscription and degenerative myxoid
areas. Most commonly, nodular fasciitis is seen on extremities; and sub-cutaneous form is most common. We are hereby reporting a case
of nodular fasciitis at a rare site (head and neck area) in its rare form (intra-muscular type: originating within sternocleidomastoid muscle),
which was clinically suspected as a malignancy arising from solitary thyroid nodule. Cytological diagnosis was issued as benign spindle cell
lesion (where chances of a misdiagnosis as malignant are very high), thereby preventing radical surgery. It was subsequently confirmed as
intra-muscular nodular fasciitis after histopathological examination. |
| first_indexed | 2024-12-19T05:45:25Z |
| format | Article |
| id | doaj.art-0018493a6c7c410b8af613ac5f4e26eb |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-19T05:45:25Z |
| publishDate | 2014-01-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-0018493a6c7c410b8af613ac5f4e26eb2022-12-21T20:33:52ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2014-01-018115515710.7860/JCDR/2014/6424.3909Intra–muscular Nodular Fasciitis Presenting as Swelling in Neck: Challenging Entity for DiagnosisSankappa P. Sinhasan0Bharathi K.V.1Ramachandra V. Bhat2Basavanandaswamy C. Hartimath3Associate Professor, Department of Pathology, Indira Gandhi Medical College & Research Institute, Pondicherry, India.Assistant Professor, Department of Pathology, Indira Gandhi Medical College & Research Institute, Pondicherry, India. Professor, Department of Pathology, Indira Gandhi Medical College & Research Institute, Pondicherry, India.Associate Professor, Department of Surgery, Indira Gandhi Medical College & Research Institute, Pondicherry, India.The diagnosis of Nodular Fasciitis is a very challenging on cytological aspirations. Even in histopathological sections, it can be sometimes be mistaken for soft tissue sarcomas due to its high cellularity, presence of mitotic figures, poor circumscription and degenerative myxoid areas. Most commonly, nodular fasciitis is seen on extremities; and sub-cutaneous form is most common. We are hereby reporting a case of nodular fasciitis at a rare site (head and neck area) in its rare form (intra-muscular type: originating within sternocleidomastoid muscle), which was clinically suspected as a malignancy arising from solitary thyroid nodule. Cytological diagnosis was issued as benign spindle cell lesion (where chances of a misdiagnosis as malignant are very high), thereby preventing radical surgery. It was subsequently confirmed as intra-muscular nodular fasciitis after histopathological examination.https://jcdr.net/articles/PDF/3909/46-6424_E(C)_F(T)_PF1(VP)_FA(T)_PF1(PUH).pdfneck swellingspindle cell lesionfine needle aspiration cytology (fnac)intra-muscular nodular fasciitis |
| spellingShingle | Sankappa P. Sinhasan Bharathi K.V. Ramachandra V. Bhat Basavanandaswamy C. Hartimath Intra–muscular Nodular Fasciitis Presenting as Swelling in Neck: Challenging Entity for Diagnosis Journal of Clinical and Diagnostic Research neck swelling spindle cell lesion fine needle aspiration cytology (fnac) intra-muscular nodular fasciitis |
| title | Intra–muscular Nodular Fasciitis Presenting as Swelling in Neck: Challenging Entity for Diagnosis |
| title_full | Intra–muscular Nodular Fasciitis Presenting as Swelling in Neck: Challenging Entity for Diagnosis |
| title_fullStr | Intra–muscular Nodular Fasciitis Presenting as Swelling in Neck: Challenging Entity for Diagnosis |
| title_full_unstemmed | Intra–muscular Nodular Fasciitis Presenting as Swelling in Neck: Challenging Entity for Diagnosis |
| title_short | Intra–muscular Nodular Fasciitis Presenting as Swelling in Neck: Challenging Entity for Diagnosis |
| title_sort | intra muscular nodular fasciitis presenting as swelling in neck challenging entity for diagnosis |
| topic | neck swelling spindle cell lesion fine needle aspiration cytology (fnac) intra-muscular nodular fasciitis |
| url | https://jcdr.net/articles/PDF/3909/46-6424_E(C)_F(T)_PF1(VP)_FA(T)_PF1(PUH).pdf |
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