2025 Poster Presentations
P176: CRANIAL NODULAR FASCIITIS: CASE REPORT AND SYSTEMATIC REVIEW OF THE LITERATURE
Mariana Agudelo, MD; Sergio Chacón; Wilfran Perez-Mendez; Manuel Vergara; Hospital Universitario San Ignacio
Cranial fasciitis (CF) is a fibroproliferative condition primarily affecting the pediatric population, with origins traced back to post-traumatic events, radiation therapy, hereditary factors, or idiopathic causes. Despite multiple cases reported since its initial classification in 1980, a systematic review encompassing clinical presentation, lesion location, patient history, treatment modalities, follow-up, and recurrence management in both adult and pediatric patients is lacking. CF manifests as a distinctive, indurated, asymptomatic subcutaneous mass, predominantly on the parietotemporal aspect of the calvarium, with potential invasion into the cranial space, necessitating prompt diagnosis and intervention. Diagnostic imaging aids in identification, but histological analysis and complete excision are crucial for definitive diagnosis. The prognosis post-Gross Total Resection (GTR) is favorable, with a low recurrence rate. In this study, we present a case of CF in a 20-month-old girl, providing a comprehensive analysis of significant findings associated with this condition based on a systematic review of existing cases.
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