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Cranial Fasciitis (CF) is a benign fibroblastic and myofibroblastic proliferative condition of the soft and hard tissues of the cranium. It is considered a variant of nodular fasciitis.
It usually presents in children under the age of 2 years.
CF involves more frequently males (Sarangarajan and Dehner 1999).
CF typically affects the cranial vault, with a predilection for the temporal and parietal regions (Lauer and Enzinger 1980; Sarangarajan and Dehner 1999). The lesion is located in the subcutis, but bone erosion and involvement of the dura may occur (Fig. 1).
Conservative surgical excision is the treatment of choice.
OutcomeCL is benign and recurrence is rare. Spontaneous regression may occur.
References and Further Reading
- Salib, C., Edelman, M., Lilly, J., Fantasia, J. E., & Yancoskie, A. E. (2019). USP6 gene rearrangement by FISH analysis in cranial fasciitis: A report of three cases. Head and Neck Pathology. https://doi.org/10.1007/s12105-019-01018-0.