A case of nodular fasciitis involving the tongue

Nodular fasciitis of the tongue: A case report in an infant

Nodular fasciitis is a benign lesion uncommonly found in the head and neck region. Although described previously in adults, there have been no reports of nodular fasciitis in a child's tongue. A 4 month old male infant was referred for evaluation of a rapidly growing tongue lesion. He underwent excisional biopsy of the lesion. Initial pathology suggested a spindle cell tumor. Subsequent outside facility molecular testing was obtained and Nodular Fasciitis was confirmed. Nodular fasciitis is a rare benign tumor that can be often mistaken for malignancy. Special histochemical and molecular testing is required to obtain final diagnosis.

Nodular Fasciitis in the Tongue-a Mimicker of Malignancy: Case Report and Review of Literature

Tongue cancer surgery involves wide excision of tumors with negative margins. It can cause significant morbidity if adequate function is not restored with the use of grafts or flaps if the defect is large. Nodular fasciitis is an uncommon entity in the tongue and a mimicker of malignancy. Preoperative diagnosis avoids mutilating radical surgery. The lesion is benign and the recurrence potential is very low with marginal excision.