Treatment of intravascular fasciitis consists of simple excision with clinical follow-up for signs of recurrence. Patchefsky's series indicate that two of their 15 patients had local recurrences but none had evidence of distant disease. Intravascular fasciitis is a variant of nodular fasciitis closely associated with a vessel wall. Given its occurrence in the mouth' and subcutaneous tissue, it is likely to be encountered by the dermatologist and dermatologie surgeon. Familiarity with this entity is important because it resembles superficially malignant processes and responds to simple excision. Acknowledgment: Dr. Sharon Weiss verified the diagnosis. Kenneth Beer, M.D. Sara Katz, M.D. Maria Medenica, M.D. Chicago, Illinois References 1. Patchefsky A, Enzinger F. Intravascular fasciitis. Am J Surg Pathol 1981; 5:29-36. 2. Price S, Kahn L, Saxe N. Dermal and intravascular fasciitis. Am J Dermatopathol 1993; 15:539-543. 3. Enzinger FM, Weiss SW. Soft tissue tumors. 2nd Ed. St. Louis: CV Mosby, 1989:106,109. 4. Kahn MA, Weathers DR, Johnson DM. Intravascular fasciitis: a case report of intraoral location. | Oral Pathol 1987; 16:303-306.
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