结节性筋膜炎又称假肉瘤性筋膜炎,1955年由Konwaler等首次报告;以后有关本病的临床、病理、超微结构及组织化学等方面的报告陆续见于国内外文献.由于本病的临床表现无显著特异性,故不易作出正确诊断.复习我院33例,临床诊断为本病又经组织学检查证实者只有一例,其余32例临床多诊断为纤维瘤、神经纤维瘤及粉瘤等,还有部分病例,临床以皮下结节待诊送检.我们对这33例(活检人次为34人次)进行复查,发现原先病理诊断为结节性筋膜炎者也有误,其中就有5例为其他纤维组织增生性病误诊为本病,故实际病例为28例.文献报告本病虽属良性,但有复发的可能,鉴于门诊正确诊断率很低,所以初诊时能正确诊断恰当处理实属重要.现就我院13年中经复 Nodular fasciitis, also known as pseudosarcomatous fasciitis, was first reported by Konwaler et al. in 1955; later reports on the clinical, pathological, ultrastructural, and histochemical aspects of the disease have been found in domestic and foreign literature. The clinical manifestations of the disease are not significantly specific, so it is not easy to make a correct diagnosis. 33 cases were reviewed in our hospital. Only one case was diagnosed by the clinical diagnosis and histological examination. The remaining 32 cases were diagnosed as fibroids, neurofibromas and Some cases, such as adenomyoma, are clinically diagnosed with subcutaneous nodules. We reviewed these 33 cases (34 times for biopsy) and found that the original pathological diagnosis of nodular fasciitis was also erroneous. There were 5 cases of other fibrous tissue hyperplasia misdiagnosed as the disease, so the actual case was 28 cases. The literature reports that although the disease is benign, but there may be a recurrence, given the low rate of correct diagnosis in outpatient clinics, it can be correctly diagnosed at the time of initial diagnosis. It is important to deal with it properly. Now it is about 13 years in our hospital.