What Is Nodular Fasciitis?

Nodular fasciitis is a fast-growing, self-limiting, superficial fascial nodular fibroblast proliferative lesion that is reactive and self-limiting. It is also known as pseudosarcoma fasciitis. It is a solid single nodule, sometimes tender, and is located in the deep myometrium and often extends to the subcutaneous tissue. The onset of both sexes is equal, with an average age of 40 years. Because nodular fasciitis is a non-tumorous disease. The treatment is mainly surgical resection, the recurrence rate is low, not more than 1% to 2%, and a few patients can disappear on their own.

Basic Information

English name

nodular fasciitis

Visiting department

dermatology

Multiple groups

20 to 40 years old

Common symptoms

Solitary nodules, sometimes tenderness

Causes of nodular fasciitis

The cause is unknown and may be related to trauma or infection.

Clinical manifestations of nodular fasciitis

The patient group is mostly adults between 20 and 40 years of age. Masses grow rapidly during the onset, and can occur within 1 to 2 weeks, with pain, numbness, or abnormality, but the mass is usually small and can be affected in any part of the body, including upper limbs, forearms, and head and neck.

Nodular fasciitis

Eye view

The mass is nodular, round or oval, and the nodules are mostly connected to the superficial fascia or deep fascia, without capsules and small volume. The sections were reddish or tan, and jelly-like or mucus-like areas were seen, and some contained fatty tissue or hard fiber cord-like stripes.

2. Microscopy

The lesions were mainly fibroblast proliferation. Some nodular fasciitis can have no inflammatory cell response, and giant cells are abundant, called osteoclast giant cell type.

3.X-ray examination or CT examination

Nodular fasciitis diagnosis

Diagnosing this disease is difficult before surgery and has the following characteristics:

1. This disease mostly occurs in 30 to 40 years old.

2. Short duration.

3. Most patients have a history of trauma.

4. Occurs in the extremities, especially in the forearm.

5. It is usually a single, rapidly increasing subcutaneous mass, which is more active, has no adhesion to the skin, and the boundaries of the mass are unclear.

6. The lump may have local pain or tenderness.

7. X-ray examination has nothing to do with bone tissue.

Nodular Fasciitis Treatment

Because nodular fasciitis is a non-tumorous disease. Mainly surgical resection, the recurrence rate is low, not more than 1% to 2%, a few patients can disappear on their own. Traditional Chinese medicine removes roots by treating blood circulation and removing blood stasis, and can be externally applied with traditional plaster and fascia plaster, which has a good effect.