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Congenital Cranial Fasciitis—‘‘Watch and Wait’’ or Early Intervention
Author(s) -
Oh ChangKeun,
Whang SoMin,
Kim ByoungGyun,
Ko HyunChang,
Lee ChangHoon,
Kim Hak Jin,
Kim Yong Woo,
Kwon KyungSool
Publication year - 2007
Publication title -
pediatric dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 73
eISSN - 1525-1470
pISSN - 0736-8046
DOI - 10.1111/j.1525-1470.2007.00399.x
Subject(s) - medicine , incisional biopsy , nodular fasciitis , surgical excision , fasciitis , surgery , biopsy , radiology , soft tissue
Cranial fasciitis is a rare variant of nodular fasciitis of childhood, a benign condition cured by surgical excision. Recently, spontaneous involution has been reported and a ‘‘watch and wait’’ approach was recommended. We report an instance of a congenital cranial fasciitis that grew rapidly during a 10‐month follow‐up after fine needle aspiration and incisional biopsy. Conservative surgical excision was curative with no recurrence over a follow‐up period of 4 years. Therefore, we recommend that early excision may be necessary in lieu of a ‘‘watch and wait’’ approach for large, rapidly growing cranial fasciitis.