Open AccessNodular Fasciitis of the Masseter Muscle
Author(s) -
Joseph Debbie,
Chheda Neil
Publication year - 2010
Publication title -
otolaryngology–head and neck surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.232
H-Index - 121
eISSN - 1097-6817
pISSN - 0194-5998
DOI - 10.1016/j.otohns.2010.06.293
Subject(s) - nodular fasciitis , masseter muscle , medicine , fasciitis , anatomy , dermatology , pathology , surgery , differential diagnosis
CONCLUSIONS A 47-year-old male presented to the ENT clinic at Shands at the University of Florida in December of 2009 with a mass of the left masseter. Imaging ordered by his community otolaryngologist was concerning for sarcoma versus hemangioma. Upon further questioning, he reported prior trauma to the region as he had been hit by a car glass window approximately 5 months earlier. He initially had pain and trismus but this resolved, and at presentation he only noted an asymptomatic small firm mass that was palpable intraorally on self examination. His past medical history was noncontributory. Physical examination revealed a firm, nontender, immobile mass over the left masseter muscle that measured 3 cm x 2 cm. He subsequently underwent a core biopsy. Final pathology results were consistent with nodular fasciitis. The patient’s postoperative course was uneventful and a one-month follow-up showed that his mass lesion was nearly imperceptible. Once given the diagnosis of benign nodular fasciitis, the patient chose clinical observation rather than further surgery for complete excision. SUMMARY