Proliferative fasciitis is a self-limiting fibrotic proliferative lesion with a relatively rapid growing course. The lesion commonly affected adults between 40 to 70 years of age. Extremities were most commonly affected, with rare involvement in the head and neck region. We presented a case of 42-year-old female with left neck mass. After surgical removal, sarcoma was highly suspected in the initial frozen section report. The final histopathological diagnosis was proliferative fasciitis. The patient remained stable and free of recurrence after complete excision of the tumor. (J Taiwan Otolaryngol Head Neck Surg 2012; 47:81-84)
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