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Oral Nodular Fasciitis of Buccal Mucosa-A Case Report and Literature Review

口腔頰黏膜結節性筋膜炎-病例報告與文獻回顧

摘要


Oral Nodular fasciitis (NF) is a rare condition with about 15% occurring in the head and neck region. Although NF is a benign reactive lesion, due to its rapid growth with varying degrees of local aggressive features, it is often contributed to misdirected differential diagnoses favoring malignancy, particularly of the sarcomatous type. A 42-year-old female patient denied any systemic disease. She presented with a rapidly growing mass on her left buccal mucosa, which had developed within just one month. Radiological investigation revealed a 3.3 × 2.3 × 3.8 cm well-defined enhancing mass at left buccal region, compatible with clinical tinding. The mass lesion was total excised under general anesthesia. The final pathology proved oral nodular fasciitis. Local excision remains the choice of treatment for most NF cases, with a expectedly favorable prognosis.

並列摘要


口腔結節性筋膜炎(Oral Nodular fasciitis)是一種罕見的情況,約15%發生在頭頸部區域。雖然結節性筋膜炎是一種良性反應性的病變,但由於其快速生長和具有不等程度的局部侵略特徵,常常容易誤診為惡性病變,特別是肉瘤類型的惡性腫瘤。一名42歲的女性患者沒有任何全身性疾病。她來求診主要是發現左側頰黏膜上有一快速生長的腫塊。放射學檢查顯示左頰區域有一個3.3 × 2.3 × 3.8公分放射性顯影的腫塊。該腫塊在全身麻醉下完全切除。最終病理學證實是口腔結節性筋膜炎。對於大多數結節性筋膜炎的病例,局部切除仍然是首選治療方法,有著良好的預後。

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