Nodular Fasciitis (नोड्यूलर फैसाइटिस) एक benign, rapid-growing soft tissue lesion है।
- यह आमतौर पर young adults में पाया जाता है, लेकिन किसी भी उम्र में हो सकता है।
- Tumor-like growth fascia (connective tissue layer) में develop होता है।
- Rapid growth और firm texture के कारण इसे कभी-कभी soft tissue sarcoma (cancer) समझ लिया जाता है।
- Benign होने के बावजूद, early diagnosis और treatment जरूरी है ताकि unnecessary surgery avoid हो।
Nodular Fasciitis क्या है (What is Nodular Fasciitis)
- Benign soft tissue proliferation of fibroblasts and myofibroblasts
- Usually solitary, painless nodule
- Rapid growth over weeks
- Most commonly affects upper extremities, forearm, trunk, or head/neck
Nodular Fasciitis कारण (Causes of Nodular Fasciitis)
1. Trauma / Injury
- Minor injury or trauma sometimes triggers proliferation
2. Genetic / Cellular Factors
- MYH9-USP6 gene fusion reported in some cases
- Causes abnormal fibroblast proliferation
3. Idiopathic / Unknown
- Many cases occur without obvious trigger
Nodular Fasciitis लक्षण (Symptoms of Nodular Fasciitis)
- Rapidly growing nodule – usually < 5 cm
- Firm, mobile, painless mass
- Occasionally tenderness or mild discomfort
- Overlying skin usually normal
- Rarely, functional limitation if near joint or tendon
Symptoms mimic soft tissue sarcoma, but benign nature distinguishes it।
Nodular Fasciitis कैसे पहचाने (Diagnosis of Nodular Fasciitis)
- Physical Examination – solitary, firm, superficial nodule
- Ultrasound / MRI – delineates size and involvement
- Biopsy / Histopathology – confirms fibroblastic proliferation without atypia
- Immunohistochemistry – differentiates from malignant tumors
- Clinical history – rapid onset and short duration
Histopathology is gold standard for diagnosis।
Nodular Fasciitis इलाज (Treatment of Nodular Fasciitis)
1. Surgical Excision
- Complete local excision is curative
- Recurrence rare (< 2%)
2. Observation (Spontaneous Regression)
- Small, asymptomatic lesions may regress spontaneously
- Regular monitoring recommended
3. Avoid Over-treatment
- Important to distinguish from sarcoma to prevent unnecessary radical surgery
4. Post-treatment Follow-up
- Usually simple, recurrence rare
- Monitor for local swelling or nodule formation
रोकथाम (Prevention)
- No specific prevention due to idiopathic nature
- Early evaluation of rapidly growing soft tissue nodules
- Avoid repeated trauma in previously affected area
सावधानियाँ (Precautions)
- Do not ignore rapidly growing soft tissue nodules
- Biopsy necessary to rule out malignancy
- Avoid unnecessary radical surgery
- Follow-up with orthopedic or surgical specialist
FAQs (अक्सर पूछे जाने वाले प्रश्न)
Q1. Nodular Fasciitis cancer है?
नहीं, यह benign lesion है, लेकिन rapid growth और firm texture के कारण अक्सर sarcoma से confuse हो जाता है।
Q2. क्या यह दर्द देता है?
आमतौर पर painless होता है, कभी-कभी हल्का discomfort हो सकता है।
Q3. Recurrence कितनी common है?
Rare (< 2%), especially after complete excision।
Q4. कितने समय में ठीक हो जाता है?
Surgical excision के बाद immediate recovery, small lesions sometimes regress spontaneously within weeks to months।
निष्कर्ष (Conclusion)
Nodular Fasciitis (नोड्यूलर फैसाइटिस) एक benign, rapidly growing soft tissue lesion है।
Early recognition, accurate biopsy, और appropriate management से over-treatment और unnecessary surgery से बचा जा सकता है।
अगर किसी को rapidly growing, painless nodule दिखे, तो तुरंत orthopedic surgeon या dermatologist से consultation जरूरी है।