Tracheal Nodular Fasciitis Presenting with Stridor: A Rare Case Report

Mallick, Manaswini; Rath, Debasmita; Das, Alok; Mohanty, Aparna; Saisharan, Krishna; Samal, Swagatika

doi:10.22038/ijorl.2025.85764.3885

Tracheal Nodular Fasciitis Presenting with Stridor: A Rare Case Report

Document Type : Case Report

Authors

Manaswini Mallick ¹

Debasmita Rath ²

Alok Das ¹

Aparna Mohanty ²

Krishna Saisharan ³

Swagatika Samal ³

¹ Department of ENT, IMS & SUM Hospital, Bhubaneswar, India.

² Department of Pediatrics, IMS & SUM Hospital, Bhubaneswar, India.

³ Department of Pathology, IMS & SUM Hospital, Bhubaneswar, India.

10.22038/ijorl.2025.85764.3885

Abstract

Introduction:
Nodular fasciitis (NF) is a benign, rapidly growing, non-neoplastic myofibroblastic lesion of the subcutaneous tissue affecting various anatomical sites throughout the body. NF of the trachea is rare, and its occurrence in the pediatric age group is highly uncommon in clinical practice.
Case Report:
2-year-old female child who presented to the emergency department with severe stridor causing critical airway obstruction. The mass was successfully excised via an emergent surgical procedure, and the definitive diagnosis of nodular fasciitis was established through histopathology examination, which revealed proliferation of spindle-shaped myofibroblasts in a myxoid stroma without features of malignancy.
Conclusion:
Early resuscitation is essential to save the patient's life, and histopathology confirms the diagnosis.

Keywords

Tracheal obstruction

Nodular fasciitis

Immunohistochemistry

Subjects