CASE PRESENTATION
An 85-year old female with type II diabetes and heart failure, treated
with metformin, antihypertensives and antiplatelet drugs, presented to
our department with a 4-months history of a rapidly growing mass located
within the soft tissues of the right cheek. The lesion was painless and
no other signs or symptoms were further reported.
Clinical history did not highlight any local recent event. Patient
examination revealed a palpable, round, painless and firm lesion located
on the right cheek, without alteration of the overlying skin.
An US scan confirmed the presence of the a 25mm nodular mass adherent to
the fascia without local neck nodes involvement.
Soon after, the patient underwent complete surgical excision of the
lesion under local anesthesia which was easily obtained by a small
intraoral access. Definitive histopathological examination of the
surgical specimen showed atypical fibrocytes and histiocytes
proliferation in a fibromixoid stroma. The cells resulted negative for
the presence of S-100, cytokeratin AE1-AE3 and desmin, and thus
diagnosis of Nodular Fasciitis (NF) was made.
At Two-years follow-up there was no local recurrence.