Nodular fasciitis of the submandibular gland

A woman in her 20s presented with a non-tender swelling of the right submandibular gland. Ultrasound was suggestive of pleomorphic adenoma. The histology result of the excised tumour later confirmed a diagnosis of nodular fasciitis which is extremely rare in the submandibular gland. Postoperatively,...

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Bibliographic Details
Published in:BMJ case reports 2022-04, Vol.15 (4), p.e245584
Main Authors: Wong, Ting Suen, Gan, Richard Wei Chern, Karsai, Laszlo, Wong, Bun Yin Winson
Format: Article
Language:English
Subjects:
Adenoma, Pleomorphic - diagnostic imaging
Adenoma, Pleomorphic - surgery
Biopsy
Case reports
Case Reports: Rare disease
Cellular biology
Ears & hearing
Exocrine glands
Fasciitis - diagnostic imaging
Fasciitis - surgery
Female
Head - pathology
Histology
Humans
Inflammation
Salivary Glands - pathology
Submandibular Gland - diagnostic imaging
Submandibular Gland - pathology
Submandibular Gland - surgery
Surgery
Tumors
Ultrasonic imaging
Citations: Items that this one cites
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Summary:A woman in her 20s presented with a non-tender swelling of the right submandibular gland. Ultrasound was suggestive of pleomorphic adenoma. The histology result of the excised tumour later confirmed a diagnosis of nodular fasciitis which is extremely rare in the submandibular gland. Postoperatively, she has made good recovery. Due to the similarity of the radiological image of pleomorphic adenoma and nodular fasciitis, it poses difficulty in diagnosing nodular fasciitis without cytology or histology of the salivary gland. Although being extremely rare, it would be worth to consider nodular fasciitis as one of the differential diagnosis in future cases of benign submandibular lesions.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2021-245584