Nodular Fasciitis of the Eye and Adnexa

Nodular fasciitis, a benign nodular proliferation of connective tissue involving the superficial fascia, has also been variously designated subcutaneous pseudosarcomatous fibromatosis, pseudosarcomatous fasciitis, and nodular fibrositis. Because of the clinical picture of a rapidly growing mass accompanied quite often by a rather alarming histologic appearance, the lesion has often been mistaken for a sarcoma. The entity was first delineated in 1955 by Konwaler and co-workers, 1 who described eight cases. In 1959, Sherwin and Friedell 2 recorded two additional cases. Three reports appeared in 1960, one by Culberson and Enterline 3 presenting five examples of nodular fasciitis; another by Kay 4 that documented four more; and another by Stout 5 that summarized the data from 77 cases studied in his laboratory. Despite Stout's very great experience with connective tissue tumors, no examples of this lesion had been located in his files before 1948. In 1961, two reports appeared, one by