We describe a very rare case of cranial fasciitis presenting with intracranial mass in a 3-year-old girl. There was no palpable scalp mass. CT scan and MRI demonstrated an epidural mass adherent to the dura with destruction of the inner table of the skull. The tumor was extirpated completely and the resected specimens were diagnosed as cranial fasciitis. When neurosurgeons, pediatricians and radiologists encounter an epidural tumor in a pediatric patient, cranial fasciitis should be kept in mind.
[Show abstract][Hide abstract] ABSTRACT: Cranial fasciitis is a rare variation of nodular fasciitis that occurs in the region of the capillitium. We report on a 29-year-old patient who presented with a 2-month history of a tumor progressively increasing in size located on the occiput. Histological examination revealed a tumor, consisting of tightly packed spindle-shaped cells with underlying myxoid stroma, which extended from the dermis to the subcutis. Actin and vimentin were detected by immunohistochemistry. We established a diagnosis of cranial fasciitis and excised the tumor. Especially when a child or young adult presents with a tumor in the skull area, consideration should be given to cranial fasciitis in the differential diagnosis to avoid unnecessary and possibly very invasive treatment approaches.
Der Hautarzt 08/2010; 61(8):700-4. DOI:10.1007/s00105-010-1979-7 · 0.56 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Cranial fasciitis is a mass-forming lesion of myofibroblastic proliferation of the skull and overlying soft tissue and occurs most frequently in pediatric patients. Cranial fasciitis has the same histological features as nodular fasciitis, which appears in the subcutaneous tissue in other parts of the body. Cranial fasciitis can involve the outer table of the skull, and it occasionally extends through the skull to form a mass involving both soft tissue and the epidural space. Intracranial cranial fasciitis without a soft tissue mass is extremely rare. Here, we report a case of a 10-year-old girl who presented with a massive intracranial mass that caused midline shift of the brain. The lesion showed focal areas of osseous metaplasia and a cytogenic abnormality of t(17;18)(q25∶q12.2) that have not yet been reported.
[Show abstract][Hide abstract] ABSTRACT: Cranial fasciitis is a rare reactive, non-tumoral lesion (pseudosarcoma) that occurs mostly in children below 6 years, with a propensity for the cranium. This type of tumor has been reported to arise from the deep fascia, periosteum or from the fibrous layers that cover fontanelles and sutures. The lesion is usually solitary, firm and painless. Grossly, it is usually unencapsulated but well circumscribed. To our knowledge, only 51 cases have been reported in the literature. Herein, we present the clinical, pathological, and radiological findings of a female infant with cranial fasciitis of the skull, and review the literature.
Formosan Journal of Surgery 12/2011; 44(6):228-232. DOI:10.1016/j.fjs.2011.08.018
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