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April 1966

Benign Nodular Fasciitis Originating in Tenon's Capsule

Author Affiliations

San Francisco
From Hahnemann Hospital and Department of Ophthalmology, University of California, San Francisco Medical Center. Dr. Tolls is now pathologist at Hahnemann Hospital in San Francisco.

Arch Ophthalmol. 1966;75(4):482-483. doi:10.1001/archopht.1966.00970050484007

Benign nodular fasciitis has only recently become widely accepted as a clinical entity distinct from the soft tissue neoplasms it may resemble. Two large series reported in 1961 and 1962 attest to the benignity of the disease.1,2 In none of the total of 135 cases reported in these studies was the lesion located in the eye. However, the wide range of distribution suggested to Hutter et al1 that it might occur wherever there is fascia. The lesion most often appears as an isolated, rapidly growing, hard mass showing many alarming histologic features suggestive of sarcoma, which may result in a grave error in diagnosis by uninitiated clinicians and pathologists. Our case is presented to illustrate the salient clinical and histologic features of nodular fasciitis arising in Tenon's fascia. (A series of ten cases with ocular involvement has been compiled at the Armed Forces Institute of Pathology by Ramon

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