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Nodular fasciitis of the submandibular gland
  1. Ting Suen Wong1,
  2. Richard Wei Chern Gan1,
  3. Laszlo Karsai2 and
  4. Bun Yin Winson Wong1
  1. 1Department of Otolaryngology Head & Neck Surgery, Hull University Teaching Hospitals NHS Trust, Hull, Kingston Upon Hull, UK
  2. 2Department of Cellular Pathology, Hull University Teaching Hospitals NHS Trust, Hull, Kingston Upon Hull, UK
  1. Correspondence to Ting Suen Wong; tingsuen{at}


A woman in her 20s presented with a non-tender swelling of the right submandibular gland. Ultrasound was suggestive of pleomorphic adenoma. The histology result of the excised tumour later confirmed a diagnosis of nodular fasciitis which is extremely rare in the submandibular gland. Postoperatively, she has made good recovery. Due to the similarity of the radiological image of pleomorphic adenoma and nodular fasciitis, it poses difficulty in diagnosing nodular fasciitis without cytology or histology of the salivary gland. Although being extremely rare, it would be worth to consider nodular fasciitis as one of the differential diagnosis in future cases of benign submandibular lesions.

  • Ear, nose and throat/otolaryngology
  • Head and neck surgery
  • Otolaryngology / ENT

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  • Contributors TSW and RWCG were involved in writing the draft and reviewing the relevant literature. LK prepared the histologic images and description/explanation of histological findings. BYWW was involved in supervising, reviewing and editing the case report.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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