Nodular fasciitis is a peculiar a tumor in its clinical presentation and cytological appearance, owing to its similarity with soft tissue sarcoma. It is a rare benign neoplasm most commonly occurring in the upper extremity. Meanwhile it is selflimitingreactiveprocessmimickingmalignantlesioncomposedofFibroblastsandMyoblasts.Herewearereportingtwocases in the hand, with varied clinical presentation, were treated with complete surgical excision and pathologically confirmed to be NodularFasciitis. The term Nodular Fasciitis although pathologically isindicative of an inflammatory process, clinically itseemsto be misleading since “Fasciitis” usually denotes an acute serioussoft tissue infection. As perliterature, this benign tumoris often described as pseudo-sarcomatous, yet itstitle gives no hint ofsuch a concern. After dealingwith the presented cases and the literature reviewit is evident that, diagnosing thisspecific lesion on basis of clinical picture, MRI orfine needle aspiration is very unlikely. Most cases will end up having surgical excision due to itsfrequently alarming presentation.