CRANIAL FASCIITIS OF CHILDHOOD - A CASE-REPORT

We present a case with cranial fasciitis in childhood and review the l iterature. A 7-year-old boy presented with hard mass on the scalp. He had sustained a bruise on the right temporal region about 2 years prev iously. Ultrasonic examination and CT scanning revealed the ossifying soft tissue mass in the right temporal scalp causing erosion and scall oping of the outer table of the skull. At surgery the lesion was firml y attached to the periosteum and the skull. The lesion was completely excised and the lytic bone curettaged. The tumor was composed of immat ure fibroblasts and diagnosed as cranial fasciitis in childhood. A bri ef review of the literature is included emphasizing the need to invest igate further this completely benign lesion that is frequently confuse d with a malignant neoplasm.