ePlasty: Vol. 8
Rapidly Growing Nodular Fasciitis in the Cheek of an Infant: Case Report of a Rare Presentation
E. Hanson Lenyoun, MS,a June K. Wu, MD,b Bryan Ebert, MD,cand Benn Lieberman, DMDd

aColumbia University College of Physicians and Surgeons, New York; bDivision of Plastic Surgery, Department of Surgery, Columbia University College of Physicians and Surgeons, New York; cDepartment of Pathology, Columbia University College of Physicians and Surgeons, New York; dDepartment of Oral Surgery, Columbia University College of Dental Medicine, New York.


Correspondence: jw92@columbia.edu

Objective: Nodular fasciitis is a benign proliferative spindle-cell lesion found in the subcutaneous fascia that presents as a rapidly growing mass with rich cellularity and mitotic activity, leading to it frequently being mistaken for a sarcoma. Histomorphologic features and immunohistochemical profile are useful in proper diagnosis. The treatment is complete excision, and recurrence is uncommon. A rare presentation and treatment of nodular fasciitis in the cheek of an infant is described here. Methods: The lesion was resected by direct transcutaneous approach, and the skin was closed with 2 layers of purse-string polydioxanone sutures followed by fast-absorbing gut sutures to reapproximate the epidermis. Results: Postoperatively, the patient had a wound dehiscence on the cheek, which healed secondarily wit .......