頬粘膜下に生じた結節性筋膜炎の１例

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  • A case of nodular fasciitis arising in the buccal submucosa
  • ショウレイ ホウコク ホオ ネンマク カ ニ ショウジタ ケッセツセイキン マクエン ノ 1レイ

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Nodular fasciitis is a benign pseudosarcomatous proliferative lesion of soft tissue. It usually develops in the subcutaneous fascia of the extremities and trunk. Nodular fasciitis rarely occurs in the oral cavity. It was described for the first time by Konwaler et al. in 1955, and in Japan it was reported in 1963 by Imai. This paper reports a case of nodular fasciitis arising from the buccal mucosa.<BR>A 45-year-old woman presented with a slightly painful swelling in the right buccal mucosa. Intraoral examination revealed an elastic hard nodule, measuring 20×20mm in diameter. The overlying mucosa was normal in appearance. Because the tumor rapidly grew within 10 days, it was surgically excised intraorally. Histopathological examination showed a nodular lesion proliferating contiguously from the fascia, with fibroblast proliferation and some mitotic figures, accompanied by inflammatory cell infiltration. There were no signs of recurrence for 5 years 5 months after operation.

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