Iranian Journal of Pathology

Nodular Fasciitis – Fine Needle Aspiration Cytology Diagnosis and Its Pitfalls, with Review of Literature

Document Type : Short Communication

Authors

Padmapriya Jaiprakash 1
Balaji Radhakrishnan 2
Ranjini Kudva 3
Manna Valiathan 3
Seetharam Prasad 4

1 Associate Professor, Dept. of Pathology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India

2 Ex-Post-Graduate, Dept. of Pathology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India

3 Professor, Dept. of Pathology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India

4 Professor, Dept. of General Surgery, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India

https://doi.org/10.30699/ijp.14.1.76
Abstract
Background and Objective: Nodular fasciitis (NF) is a self-limiting, transient neoplasm composed of fibroblasts and myofibroblasts. Since it regresses spontaneously, diagnosis by fine needle aspiration (FNA) cytology plays a major role in its management.
Methods: We present a series of 8 cases with either FNA or biopsy diagnosis of NF, and study the major cytological features with a review of literature on diagnostic criteria and its pitfalls.
Results and Conclusion: The 8 cases occurred in patients between the age of 14 to 72 years, with equal sex distribution. FNA diagnosis concurred in 4 cases. Causes of wrong diagnosis included lack of clinical information and paucicellular smear.
FNA cytology is an important tool in the diagnosis of nodular fasciitis, in appropriate clinico-radiological setting.

Keywords

Fasciitis
Fine-Needle Aspiration Cytological Technic
Iranian Journal of Pathology
Volume 14, Issue 1
Winter 2019
Pages 76-82

  • Receive Date 13 January 2018
  • Revise Date 14 October 2018
  • Accept Date 24 December 2018

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