Fascite nodulare della palpebra: una lesione non ricorrente.

Nodular pseudosarcomatous fasciitis is a rare, benign proliferation of fibroblasts and myofibroblasts in subcutaneous tissues. These benign nodules usually occurr in young and middle-age adults from the 2th to the 4th decade. The lesion arises most often in the upper extremities of adults and in the head and neck region of infants and children. The cause of the lesion is unknown, but a history of trauma may precede these reactive lesions. The nodules grow rather rapidly, with slight tenderness. Their rapid growth, abundant cellularity and mitotic activity frequently cause these lesions to be misdiagnosed as sarcomas. Local exision is the treatment of choice for these generally non recurring lesion. A case of a nodular pseudosarcomatous fascitis of the eyelid is reported. A 3 years old girl presented with a 4-month history of rapidly growing mass arising in the left eyelid, adjacent to the eyebrow, recurring after a previous excision. The lesion was surgically excised. Histologic examination revealed nodular fasciitis with a pseudosarcomatous appearance. No recurrence has been noted at 6 months follow-up. A revision of the literature, focusing on clinical, histopathological and surgical aspects is presented.