Abstract
Background: Nodular fasciitis is a relatively common benign soft tissue neoplasm of myofibroblastic lineage.1 Nodular fasciitis can occasionally present as a diagnostic dilemma; clinically due to its rapid and infiltrative growth pattern on imaging, and histologically due to the presence of high cellularity with variable mitotic activity.2 In particular, the vulva poses additional diagnostic challenges with differentials of spindle cell lesions in the perineum including cellular angiofibroma, angiomyofibroblastoma and aggressive angiomyxoma.
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