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parotid nodular fasciitis

Monday 2 January 2017

Nodular Fasciitis of the Parotid Gland

Nodular fasciitis (NF), very uncommon in the parotid gland, is a benign myofibroblastic proliferation that may be mistaken for other neoplastic proliferations.

NF of the parotid gland occurs in middle-aged patients who present with a mass (mean 2.2 cm) in the parotid gland of short duration (1.9 months).

FNA misinterpretation frequently leads to excision.

Differential diagnosis

The principle differential diagnoses include :
 fibrosarcoma ,
  fibromatoses ,
 pleomorphic adenoma ,
 myoepithelioma ,
 neurofibroma ,
 schwannoma ,
 solitary fibrous tumor (SFT) ,
 leiomyoma ,
 fibrous histiocytoma ,
 myxoma .

References

 Parotid Gland Nodular Fasciitis: A Clinicopathologic Series of 12 Cases with a Review of 18 Cases from the Literature.
Gibson TC, Bishop JA, Thompson LD.
Head Neck Pathol. 2015 Sep;9(3):334-44. doi : 10.1007/s12105-014-0594-9
PMID: 25472697 Free