Infrequent benign fibroproliferative lesion of the skull, known as cranial fasciitis (CF). The disease’s subtype and a summary of its radiologic characteristics have not yet been described. This research aimed to enhance radiologists’ and clinicians’ understanding of CF by summarizing its distinctive clinical radiology characteristics and management. Through a search of a medical center’s database, researchers could acquire the clinical and radiologic information of individuals with CF who had been diagnosed via histopathology. Clinicoradiological characteristics and treatment of CF were evaluated retrospectively. All told, 14 CF patients participated. Around 85.7% of people reported feeling nothing when they touched the bulk. Approximately 14.3% of the patients were diagnosed with tenderness and numerous masses. About 2 individuals showed a considerable increase, while 5 others had their bulk grow over the course of a few months. Using CT findings, they classified these individuals into 3 groups. Type I (9 patients) typically manifested as widespread osteolytic bone deterioration accompanied by a soft tissue tumor. In 2 patients with type II, a mass on the scalp accompanied by minimal erosion of the outer skull plate was the presenting symptom. In 3 instances, type III manifested as a nondestructive tumor on the head. There was a resection operation performed on each patient. Craniotomy and cranioplasty were used to treat patients with type I. Complete scalp mass excision with local skull curettage was performed on individuals with type II. The scalp tumor was surgically removed in its entirety from type III patients. After a period of observation, no more cases emerged.

In most cases, CF manifests as a single, painless, hard, immobile lump with a distinct edge. The 3 common MSCT results are bone destruction with soft tissue mass, scalp mass with the erosion of the skull, and a mass on the scalp itself. The varied forms of CF require distinct treatment approaches.

Source: bmcpediatr.biomedcentral.com/articles/10.1186/s12887-022-03610-w