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结节性筋膜炎是属于一种较少见、良性的、以纤维母细胞增生为主的软组织疾病。目前该病病因不明,其病变来源于皮下筋膜,好发于上肢前臂,其次为下肢及躯干,口腔颌面部的发生率较低,约占所有病例的10%~20%。其好发年龄为20~40岁为最常见。本病的诊断主要根据病理学检查,对于非典型病例有时易与纤维肉瘤相混淆,采用免疫组化技术,能作出正确的诊断与鉴别诊断。本病主要采用手术切除为主,术后一般不复发,无须行扩大或根治术。本文总结3例口腔颌面部结节性筋膜炎,并进行文献复习。
Nodular fasciitis is a rare, benign, fibroblastic hyperplasia based soft tissue disease. At present, the etiology of the disease is unknown. The lesion originated from the subcutaneous fascia. Occur in the forearm, followed by the lower extremities and trunk. The incidence of oral and maxillofacial region is relatively low, accounting for 10% -20% of all cases. The prevalence of 20 to 40 years old is the most common. The diagnosis of this disease is mainly based on pathological examination, for atypical cases and sometimes easily confused with fibrosarcoma, the use of immunohistochemical techniques, can make the correct diagnosis and differential diagnosis. The disease mainly by surgical excision, postoperative general relapse, no need to expand or radical surgery. This article summarizes 3 cases of oral and maxillofacial nodular fasciitis, and literature review.