Nodular fasciitis often resembles malignant sarcomas from a clinical and pathologic perspective. We describe the case of an infant that presented with a supraclavicular nodular fasciitis that recurred after an initial gross total resection. A review of pathology records at the Children's Hospital of Alabama led to the identification of 18 nodular fasciitis cases between 1997 and 2009, all of which underwent surgical excisions. Patient characteristics were similar to previous studies that detected a broad range of ages at diagnosis, a male predominance, and a predilection for the head and neck. Only one tumor recurred after the initial surgical intervention. All patients ultimately recovered with minimal morbidity.
*Division of Hematology-Oncology, Department of Pediatrics
‡Department of Surgery, University of Alabama at Birmingham
†Department of Pathology and Laboratory Medicine, Children's Hospital of Alabama, Birmingham, AL
Reprints: Joseph Gerald Pressey, MD, Division of Hematology-Oncology, Department of Pediatrics, University of Alabama at Birmingham, 1600 7th Avenue South, ACC 512, Birmingham, AL 35233 (e-mail: firstname.lastname@example.org).
Received for publication October 7, 2009; accepted February 22, 2010