ePlasty: Vol. 20
Nodular Fasciitis—A Rare Cause of a Rapidly Growing Ear Lesion in a 19-Month-Old Child
Jordan N. Halsey, MD,a Julien Hohenleitner, BS,a and Frank S. Ciminello, MDb

aDivision of Plastic and Reconstructive Surgery, Department of Surgery, Rutgers New Jersey Medical School, Newark; and bCraniofacial & Pediatric Plastic & Reconstructive Surgery, Department of Plastic Surgery & Neurosurgery, Hackensack University Medical Center, Hackensack, NJ

Correspondence: frank.ciminello@gmail.com
Keywords: nodular fasciitis, pediatric masses, auditory canal lesion, locally destructive lesions, ear mass


A 9-month-old patient developed a small, skin-colored lesion in the conchal bowl of her left ear (Fig 1). There were no auditory abnormalities or pain associated with the lesion. The patient's dermatologist thought this mass to be a keloid and performed a steroid injection, with no treatment response. Ten months later, after minor trauma to the lesion during play at home, the lesion rapidly grew, ulcerated, and became prone to bleeding. Figure 2 shows the lesion prior to the trauma; Figure 3 shows the growth posttrauma. A biopsy was performed; the results were consistent with nodular fasciitis. The patient was referred to plastic surgery for evaluation. At the time, the lesion was 2.1 × 2.1 × 0.8 cm in size and  .......