{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T12:22:41Z","timestamp":1762431761935,"version":"3.44.0"},"reference-count":8,"publisher":"BMJ","issue":"10","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,9,29]]},"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:p>Nodular fasciitis (NF) is a rapidly growing benign lesion rarely reported in the parotid gland. It shares cytological features with other benign and malignant parotid neoplasms and may be difficult to diagnose based on fine needle aspiration cytology alone. Given this diagnostic conundrum, surgical excision for histology is recommended to facilitate definitive diagnosis. A case with significant involvement of the facial nerve is described, which has not previously been reported in the literature. Despite features of potential malignancy, the decision was taken to biopsy the lesion and not proceed to complete excision in an attempt to reduce the risk of facial nerve injury. Expert opinion later diagnosed NF. Contrary to accepted practice, where diagnostic uncertainty remains around the malignant potential of a lesion, risks and benefits of complete excision versus a conservative approach should be carefully weighed especially when the facial nerve is involved and NF is a possible diagnosis.<\/jats:p>","DOI":"10.1136\/bcr-2019-231203","type":"journal-article","created":{"date-parts":[[2019,10,19]],"date-time":"2019-10-19T05:45:14Z","timestamp":1571463914000},"page":"e231203","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Nodular fasciitis of the parotid gland engulfing the facial nerve: a conservative approach"],"prefix":"10.1136","volume":"12","author":[{"given":"Stephen","family":"Bennett","sequence":"first","affiliation":[{"name":"Department of Otolaryngology & Head and Neck Surgery, East Suffolk and North Essex NHS Foundation Trust, Ipswich, Suffolk, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristian","family":"Hutson","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology & Head and Neck Surgery, East Suffolk and North Essex NHS Foundation Trust, Ipswich, Suffolk, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olakunle","family":"Ajayi","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology & Head and Neck Surgery, East Suffolk and North Essex NHS Foundation Trust, Ipswich, Suffolk, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"Hilger","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology & Head and Neck Surgery, East Suffolk and North Essex NHS Foundation Trust, Ipswich, Suffolk, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,10,18]]},"reference":[{"key":"2025082701464136000_12.10.e231203.1","doi-asserted-by":"publisher","DOI":"10.1093\/ajcp\/25.3.241"},{"key":"2025082701464136000_12.10.e231203.2","doi-asserted-by":"crossref","first-page":"366","DOI":"10.4132\/KoreanJPathol.2014.48.5.366","article-title":"Nodular fasciitis of the parotid gland, masquerading as pleomorphic adenoma","volume":"48","author":"Hwang","year":"2014","journal-title":"Korean J Pathol"},{"key":"2025082701464136000_12.10.e231203.3","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1002\/dc.20323","article-title":"Nodular fasciitis of parotid region: a pitfall in the diagnosis of pleomorphic adenomas on fine-needle aspiration cytology","volume":"33","author":"Saad","year":"2005","journal-title":"Diagn Cytopathol"},{"key":"2025082701464136000_12.10.e231203.4","doi-asserted-by":"publisher","DOI":"10.1038\/labinvest.2011.118"},{"key":"2025082701464136000_12.10.e231203.5","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1016\/j.bjoms.2012.10.002","article-title":"Incidence of salivary gland neoplasms in a defined UK population","volume":"51","author":"Bradley","year":"2013","journal-title":"Br J Oral Maxillofac Surg"},{"key":"2025082701464136000_12.10.e231203.6","doi-asserted-by":"crossref","DOI":"10.1136\/bmj.e6794","article-title":"Salivary gland swellings","volume":"345","author":"Mehanna","year":"2012","journal-title":"BMJ"},{"key":"2025082701464136000_12.10.e231203.7","doi-asserted-by":"crossref","first-page":"829","DOI":"10.1002\/dc.22983","article-title":"Nodular fasciitis in the parotid gland: a case report and review of the literature","volume":"41","author":"Peng","year":"2013","journal-title":"Diagn Cytopathol"},{"key":"2025082701464136000_12.10.e231203.8","doi-asserted-by":"crossref","first-page":"334","DOI":"10.1007\/s12105-014-0594-9","article-title":"Parotid gland nodular fasciitis: a clinicopathologic series of 12 cases with a review of 18 cases from the literature","volume":"9","author":"Gibson","year":"2015","journal-title":"Head Neck Pathol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2019-231203","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T08:46:50Z","timestamp":1756284410000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2019-231203"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,10]]},"references-count":8,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2019,10,18]]},"published-print":{"date-parts":[[2019,10]]}},"alternative-id":["10.1136\/bcr-2019-231203"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2019-231203","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2019,10]]}}}