A Rare Case of Nodular Fasciitis of the Hard Palate with Complete Clinical Resolution.
Jan P Schockmann, Jakob Becker, Marc M Precht et al.
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Case in brief
A 24-year-old female presented with a rapidly enlarging, pedunculated mass on the hard palate, initially diagnosed as a pyogenic granuloma. Following an incisional biopsy, the lesion grew significantly, prompting laser-assisted resection. Histological analysis revealed nodular fasciitis, confirmed by molecular analysis. The patient adopted a watchful-waiting approach and remained asymptomatic with no recurrence after 18 months.
Diagnostic / clinical pearl
Accurate diagnosis of nodular fasciitis is crucial, especially in sensitive anatomical areas, as it can mimic other lesions like pyogenic granuloma.
Why it matters
This case highlights the importance of thorough histological evaluation and molecular analysis in achieving the correct diagnosis for lesions in the head and neck region.