ContentsSynopsisCodesLook ForDiagnostic PearlsDifferential Diagnosis & PitfallsBest TestsManagement PearlsTherapyReferencesView all Images (6)
Nodular fasciitis in Adult
Print
Other Resources UpToDate PubMed

Nodular fasciitis in Adult

Print Images (6)
Contributors: Lauren Ko, Susan Burgin MD
Other Resources UpToDate PubMed

Synopsis

Nodular fasciitis (NF) is a benign reactive condition that typically presents as a solitary, rapidly growing subcutaneous nodule on the upper body. NF is most commonly seen in adults aged 20-40 years and has no sex predominance. Approximately 10% of cases arise in the pediatric population. A history of trauma to the affected site is the only known risk factor for the development of NF.

NF grows rapidly over a period of weeks. It may present with mild pain, discomfort, or soreness. Less frequently, sensory disturbances such as paresthesias, numbness, or radicular pain can occur if the nodule impinges on a peripheral nerve. NF nodules reach a maximum of 4-5 cm in diameter. They may be round or oval; white, flesh-colored, or gray; and tender to touch. NF can present in any superficial soft tissue of the body, but it is most often encountered on the upper extremities (especially the volar aspect of the forearm) and the trunk (especially the chest wall and the back). In childhood, the head and neck are most frequently involved. More rarely reported locations include the oral mucosa, external ear, parotid gland, breast, and maxillary sinus.

NF is a benign proliferation of fibroblasts and myofibroblasts. It is most frequently seen histopathologically in a subcutaneous location. It may be centered along the fascial plane. Dermal, intramuscular, and intravascular variants are less frequently encountered.

Codes

ICD10CM:
M72.4 – Pseudosarcomatous fibromatosis

SNOMEDCT:
400138001 – Nodular fasciitis

Look For

Subscription Required

Diagnostic Pearls

Subscription Required

Differential Diagnosis & Pitfalls

  • Soft tissue sarcomas
  • Desmoid tumor
  • Proliferative myositis
  • Fibroma of the tendon sheath – often on the hands and slow growing

Best Tests

Subscription Required

Management Pearls

Subscription Required

Therapy

Subscription Required

References

Subscription Required

Last Updated: 07/20/2016
Copyright © 2019 VisualDx®. All rights reserved.
Nodular fasciitis in Adult
Print 6 Images
View all Images (6)
(with subscription)
Nodular fasciitis : Back, Chest, Forearm, Smooth nodule
Copyright © 2019 VisualDx®. All rights reserved.