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Treatment of Nodular Fasciitis Occurring on the Face

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Author(s)
Byung Ho OhJihee KimZhenlong ZhengMi Ryung RohKee Yang Chung
Keimyung Author(s)
Oh, Byung Ho
Department
Dept. of Dermatology (피부과학)
Journal Title
Annals of Dermatology
Issued Date
2015
Volume
27
Issue
6
Keyword
Intralesional injectionLaser therapyNodular fasciitis
Abstract
Background: Surgical excision is generally recommended
for the treatment of nodular fasciitis (NF) to rule out sarcoma.
However, in cases of NF occurring on the face, the reported
recurrence rate is higher and the surgical approach may result
in considerable aesthetic concern. Objective: To describe
our experience with NF occurring on the face and
evaluate the outcomes of surgical and nonsurgical methods
of treatment. Methods: We performed a retrospective review
of 16 patients with NF on the face. The patients were treated
with surgical excision or nonsurgical methods such as triamcinolone
intralesional injection (TA ILI) and pinhole
method with a carbon dioxide (CO2) laser. Results: Among
the 16 patients, surgical treatment was performed in 9 and recurrence
occurred in 7 of these 9 patients (77.8%). The recurred
lesions showed regression after repeated TA ILI. On
the other hand, five patients underwent nonsurgical treatment
after the histologic exclusion of malignancy. Their lesions
showed regression after repeated pinhole treatment
and TA ILI. In one case, NF spontaneously regressed. On a
visual analogue scale, the nonsurgical approach showed superior
results. However, the values were not statistically significant
(6.90±1.56 vs. 5.61±1.36; p=0.163). The satisfaction
level was lower in patients who experienced recurrence
after surgical excision. Conclusion: Surgical treatment
for NF on the face showed a noticeable recurrence rate
and resulted in scarring. Therefore, considering the possibility
of spontaneous regression, the nonsurgical method can
be considered as an alternative treatment option for NF on
the face. (Ann Dermatol 27(6) 694∼701, 2015)
Keimyung Author(s)(Kor)
오병호
Publisher
School of Medicine
Citation
Byung Ho Oh et al. (2015). Treatment of Nodular Fasciitis Occurring on the Face. Annals of Dermatology, 27(6), 694–701. doi: 10.5021/ad.2015.27.6.694
Type
Article
ISSN
1013-9087
DOI
10.5021/ad.2015.27.6.694
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/33071
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Dermatology (피부과학)
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