What are the signs and symptoms of nodular fasciitis (pseudosarcomatous)?

Updated: Oct 07, 2019
  • Author: Guy J Petruzzelli, MD, PhD, MBA, FACS; Chief Editor: Gregory Gary Caputy, MD, PhD, FICS  more...
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Answer

Answer

Clinical Presentation

Nodular fasciitis lesions may appear in persons of any age, with the peak incidence between the second and fourth decades of life. Sex distribution appears to be equal.

The most common site is the volar portion of the forearm, but nodular fasciitis can appear anywhere. The chest and back are other common sites for nodular fasciitis lesions. Nodular fasciitis lesions usually appear as rapidly growing solitary nodules that are often tender and typically develop over a 2- to 3-week period. [68]  Most cases are idiopathic; however, 10-15% are associated with previous trauma.

Another variant, called dermal nodular fasciitis, can involve the external ear region, cheeks, and scalp. [69]


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