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Case report: nodular fasciitis of the parotid region

Published online by Cambridge University Press:  05 September 2011

Y Hidir ,
H H Arslan ,
O Gunhan  and
B Satar
Y Hidir*
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Gulhane Military Medical Academy, Ankara, Turkey
H H Arslan
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Gulhane Military Medical Academy, Ankara, Turkey
O Gunhan
Affiliation:
Department of Pathology, Gulhane Military Medical Academy, Ankara, Turkey
B Satar
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Gulhane Military Medical Academy, Ankara, Turkey
*
Address for correspondence: Dr Yusuf Hidir, Department of Otorhinolaryagology and Head and Neck Surgery, Gulhane Medical School, Etlik, 06018, Ankara, Turkey Fax: 90 312 3045700 E-mail: yhidir@gata.edu.tr
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Abstract

Objective:

To demonstrate the clinical and histopathological features of nodular fasciitis in the parotid region.

Case report:

A 24-year-old man presented with a palpable mass in the superior border of the parotid gland. The mass was firm and immobile, with a smooth surface. Fine needle aspiration cytology revealed proliferating fibroblasts, macrophages and adipocytes among the blood cells. Although a superficial parotidectomy was initially planned, a total excision was performed, as the mass was observed to be located in the periphery of the parotid tissue. Nodular fasciitis was diagnosed, based on the results of immunohistochemical analysis.

Conclusion:

Nodular fasciitis very rarely occurs in the parotid region. These lesions grow quickly, and may be misdiagnosed as sarcoma. Trauma may play a role in their aetiology. Total excision is adequate as treatment.

Keywords

FasciitisParotid RegionFibroblastsNeck
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 125 , Issue 12 , December 2011 , pp. 1312 - 1314
Copyright
Copyright © JLO (1984) Limited 2011

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