Ja. Shields et al., Orbital nodular fasciitis simulating a dermoid cyst in an 8-month-old child - Case report and review of the literature, OPHTHAL PL, 17(2), 2001, pp. 144-148
Purpose: To report a clinicopathologic correlation of orbital nodular fasci
itis that simulated a dermoid cyst in an infant and to review the literatur
e on orbital nodular fasciitis.
Method: Case report; literature review.
Results: A progressively enlarging subcutaneous mass superotemporal to the
right eye that clinically resembled a dermoid cyst developed in an 8-month-
old boy. Magnetic resonance imaging disclosed an enhancing, circumscribed,
solid, soft-tissue mass in the anterior part of the orbit superotemporally.
The tumor was removed intact by a superolateral orbitotomy. Histopathologi
c and immunohistochemical studies revealed findings consistent with nodular
fasciitis, a pseudoneoplastic lesion marked by a proliferation of myofibro
blasts.
Conclusions: Although nodular fasciitis in the ocular region usually occurs
in adults and older children, it should also be considered in the differen
tial diagnosis of orbital or adnexal masses in infants.