Infantile (desmoid-type) fibromatosis of the parotid gland

1997 ◽  
Vol 111 (7) ◽  
pp. 669-670 ◽  
Author(s):  
Ramesh Chandran Ramanathan ◽  
J. Meirion Thomas
Keyword(s):  
Local Recurrence ◽  
Parotid Gland ◽  
Facial Nerve ◽  
Clinical Features ◽  
Surgical Excision ◽  
High Rate ◽  
Cytological Evidence ◽  
Deep Lobe ◽  
Complete Surgical Excision ◽  
Infancy And Childhood

AbstractInfantile fibromatosis, one of the fibrous tumours of infancy and childhood, is a fibroproliferative lesion characterized by aggressive local invasion without any tendency to metastasize, the absence of cytological evidence of malignancy and a high rate of local recurrence when incompletely excised. We report a case of infantile (desmoid-type) fibomatosis in a seven-year-old girl arising from the deep lobe of the parotid gland that was treated by complete surgical excision with preservation of the facial nerve. The clinical features, pathology and treatment are briefly discussed.

scholarly journals Nodular fasciitis of the parotid gland engulfing the facial nerve: a conservative approach

2019 ◽  
Vol 12 (10) ◽  
pp. e231203
Author(s):  
Stephen Bennett ◽  
Kristian Hutson ◽  
Olakunle Ajayi ◽  
Andreas Hilger
Keyword(s):  
Parotid Gland ◽  
Facial Nerve ◽  
Benign Lesion ◽  
Surgical Excision ◽  
Needle Aspiration ◽  
Nodular Fasciitis ◽  
Conservative Approach ◽  
Complete Excision ◽  
Diagnostic Uncertainty ◽  
Accepted Practice

Nodular fasciitis (NF) is a rapidly growing benign lesion rarely reported in the parotid gland. It shares cytological features with other benign and malignant parotid neoplasms and may be difficult to diagnose based on fine needle aspiration cytology alone. Given this diagnostic conundrum, surgical excision for histology is recommended to facilitate definitive diagnosis. A case with significant involvement of the facial nerve is described, which has not previously been reported in the literature. Despite features of potential malignancy, the decision was taken to biopsy the lesion and not proceed to complete excision in an attempt to reduce the risk of facial nerve injury. Expert opinion later diagnosed NF. Contrary to accepted practice, where diagnostic uncertainty remains around the malignant potential of a lesion, risks and benefits of complete excision versus a conservative approach should be carefully weighed especially when the facial nerve is involved and NF is a possible diagnosis.

scholarly journals Transoral Excision of a Large Accessory Parotid Gland Tumor

2021 ◽  
pp. 014556132110362
Author(s):  
Rohith S. Voora ◽  
Joshua Stramiello ◽  
Emily Funk ◽  
Joseph Califano
Keyword(s):  
Parotid Gland ◽  
Facial Nerve ◽  
Surgical Excision ◽  
Transoral Approach ◽  
Malignant Neoplasms ◽  
Gland Tumor ◽  
Parotid Gland Tumor ◽  
Facial Nerves ◽  
Endoscopic Assistance ◽  
Accessory Parotid Gland

Accessory parotid gland (APG) tumors account for 1% to 7% of all parotid gland neoplasms but are more likely to be malignant than main parotid gland tumors. Management of APG neoplasms entails surgical excision. Four primary approaches to resection have been described in the literature with varying facial nerve outcomes. We report a case of a 4-cm APG pleomorphic adenoma utilizing a transoral approach for excision without postoperative facial nerve injury. A transoral approach is known to mitigate patients’ cosmetic concerns; however, prior reports utilized endoscopic assistance on patients with smaller tumors. We conclude that large APG tumors can be excised through a transoral approach without undue risk to the distal facial nerves, though this transoral approach ultimately may not be appropriate for malignant neoplasms or difficult dissections.

scholarly journals Liposarcoma of mesorectum presenting as chronic intestinal obstruction: a rare case

2018 ◽  
Vol 5 (10) ◽  
pp. 3437 ◽  
Author(s):  
Rajesh Goud E. ◽  
Muvva Sri Harsha ◽  
Jakkula Srikanth ◽  
Kanmathareddy Amulya
Keyword(s):  
Soft Tissue ◽  
Local Recurrence ◽  
Rare Case ◽  
Spindle Cell ◽  
Surgical Excision ◽  
Clear Cut ◽  
Complete Surgical Excision ◽  
Neoplastic Lesions ◽  
Cell Variant ◽  
Well Differentiated

The term ‘liposarcoma’ refers to a spectrum of neoplastic lesions that can be benign to malignant and likely to recur or metastasize. Liposarcoma is a common soft tissue sarcoma found in adults and occurs mostly in extremities especially thigh followed by retroperitoneum. Here we present a case of spindle cell variant of well differentiated liposarcoma of mesorectum and underwent Anterior resection for the same. The treatment of choice for liposarcomas of retroperitoneum remains debatable and there are no clear-cut guidelines available regarding the same. However, considering the higher rates of local recurrence we advise a complete surgical excision following anatomical principles.

Primary Leiomyosarcoma of the Pancreas

2001 ◽  
Vol 125 (1) ◽  
pp. 152-155
Author(s):  
Gabriella Nesi ◽  
Desiree Pantalone ◽  
Ilaria Ragionieri ◽  
Andrea Amorosi
Keyword(s):  
Smooth Muscle ◽  
World Literature ◽  
Soft Tissues ◽  
Malignant Tumors ◽  
Smooth Muscle Actin ◽  
Surgical Excision ◽  
High Rate ◽  
Complete Surgical Excision ◽  
Membrane Components ◽  
Primary Leiomyosarcoma

Abstract Primary leiomyosarcoma of the pancreas is a rare tumor for which only 21 reports appear in the world literature. We describe an additional case of pancreatic leiomyosarcoma in a 76-year-old man, who complained of persistent high fever. Histologic examination revealed a pleomorphic spindle cell tumor. Reactivity for muscle-specific actin, α-smooth muscle actin, and basement membrane components, along with negative staining for epithelial and neural markers, were consistent with a smooth muscle sarcoma. The patient died of disease 1 year after complete surgical excision. This report highlights the need to use a complete antibody panel in order to accurately immunophenotype pleomorphic malignant tumors of the pancreas. A review of the cases compiled in the literature indicates that pancreatic leiomyosarcoma, like its counterpart arising in deep soft tissues, is an aggressive neoplasm characterized by short survival and a high rate of metastases.

Deep lobe parotid lipoma: a case report

1995 ◽  
Vol 109 (8) ◽  
pp. 772-773 ◽  
Author(s):  
Graeme M. Weiner ◽  
A. L. Pahor
Keyword(s):  
Case Report ◽  
Parotid Gland ◽  
Facial Nerve ◽  
The Body ◽  
Common Occurrence ◽  
Superficial Parotidectomy ◽  
Deep Lobe ◽  
Simple Enucleation ◽  
The Common

AbstractWe present a patient with a lipoma of the deep lobe of the parotid gland. Despite the common occurrence of this tumour in other regions of the body, we believe that this is only the second report in the literature of a lipoma in this location. We believe that these tumours are easily dealt with by simple enucleation, and that superficial parotidectomy should be reserved for tumours deep to the facial nerve.

Intranasal myopericytoma. A tumour with perivascular myoid differentiation: the changing nomenclature for haemangiopericytoma

2007 ◽  
Vol 121 (8) ◽  
pp. 786-789 ◽  
Author(s):  
T Wilson ◽  
H B Hellquist ◽  
S Ray ◽  
J Pickles
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Local Recurrence ◽  
Surgical Excision ◽  
High Rate ◽  
Lateral Rhinotomy ◽  
Review Of The Literature ◽  
Myoid Cells ◽  
Computed Tomography Scanning ◽  
Tomography Scanning

AbstractWe present a case report of a patient who developed a sinonasal myopericytoma treated by surgical excision through a lateral rhinotomy. Some aggressive features on pre-operative computed tomography scanning and the complexity of recent changes in the histological nomenclature for these tumours led to consideration of adjuvant therapy. The close histological relationship between myopericytoma, myofibromatosis, solitary myofibroma and infantile haemangiopericytoma is discussed. This group of lesions constitute a single morphological spectrum with differentiation towards perivascular myoid cells (pericytes). Currently myopericytoma is the most appropriate and accepted term embracing all these entities. A review of the literature has been reassuring in identifying these tumours as benign but with a reasonably high rate of local recurrence (17 per cent). The treatment of choice is surgical excision with further excisions for local recurrence.

scholarly journals Desmoplastic fibroma of the left 6th rib in a 35-year-old man: a case report and literature review

2021 ◽  
Author(s):  
Kai Zhang ◽  
Wu Weibin ◽  
Guan Jiexia ◽  
Wu Yonghui ◽  
Chen Huiguo ◽  
...  
Keyword(s):  
Local Recurrence ◽  
Benign Tumor ◽  
Surgical Excision ◽  
Final Diagnosis ◽  
High Rate ◽  
Wide Resection ◽  
Desmoplastic Fibroma ◽  
Left Chest ◽  
Rare Benign Tumor ◽  
Enhanced Computed Tomography

Abstract Background: Desmoplastic fibroma (DF) is a rare, benign tumor. The most common sites are the long tubular bones and mandible. Although generally considered a benign tumor, it can invade surrounding tissues and has a high rate of local recurrence after incomplete surgical excision. However, there is currently no stantard treatment. Here we present a novel case of DF in the left 6th rib in a 35-year-old man.Case presentation: The man presented to our center with left chest pain and swelling. Enhanced computed tomography (CT) showed a 4.5×2.0 cm mass on the left 6th rib with pathological fracture.Wide resection was performed. Open biopsy revealed that the tumor destroyed medullary cavity and partially broke through the bone cortex. Pathologically, the tumor was composed of spindle-shaped cells arranging in a woven pattern on a backgroung of abundant collagenous fiber. No β-catenin were detected. Based on the pathological and radiological findings, a final diagnosis of DF was made. No postoperative adjuvant treatments were administerded. Fortunately, there was no evidence of recurrence 22 months after surgery. Conclusions: DF originated from rib is a kind of extremly rare benign tumor but locally aggressive and show unique biologically features. Wide resection or total resection can effectively reduce the risk of local recurrence when compared with curettage. Rarity of the tumor favors documentation in literature.

scholarly journals Initial Outcome of Surgical Management of Parotid Gland Neoplasm

2020 ◽  
Vol 15 (2) ◽  
pp. 193-195
Author(s):  
Mohammad Misbah Al Kabir Sumon ◽  
Sultana Dil Afsana ◽  
Md Belal Hossain
Keyword(s):  
Parotid Gland ◽  
Facial Nerve ◽  
Sampling Technique ◽  
Surgical Excision ◽  
Clear Understanding ◽  
Cross Sectional ◽  
Operative Complications ◽  
Initial Outcome ◽  
Relationship Of ◽  
Post Operative Complications

Introduction: Surgical excision is the gold standard for treatment of parotid gland neoplasm. But the complex relationship of the tumour to the facial nerve in the parotid gland makes the surgery very challenging. Objective: To evaluate the initial outcome of parotid gland neoplasm surgery. Materials and Methods: This cross-sectional observational study was conducted from January to December 2012 where 20 surgically treated patients with parotid gland neoplasm were selected by random sampling technique. They were followed up from 03 to 06 months to assess the minor post-operative complications. Results: The study revealed that 35% of patients belonged to the 4th decade of life. Pleomorphic adenoma constituted 85% of the tumours. Superficial parotidectomy was performed in 95% of cases. 40% of patients developed neuropraxia of the marginal mandibular branch of the facial nerve but all improved over a period of 3-6 months. 5% had permanent facial nerve weakness. Frey’s syndrome was observed in 20% of cases clinically but improved gradually. The rate of wound infection, parotid fistula and hypoesthesia of the skin over the ear lobule occurred in 10%, 5% and 20% cases respectively. Conclusion: Safe and effective parotid gland surgery requires a clear understanding of the regional anatomy, the experience of the surgeon, meticulous surgical technique along with detailed preoperative informed consent for surgery to reduce post-operative complications and morbidity of the patient. JAFMC Bangladesh. Vol 15, No 2 (December) 2019: 193-195

scholarly journals Use of Propensity Score Matching to Compare Short Outcomes from Transoral and External Surgical Approaches in Patients with Deep-Lobe Parotid Pleomorphic Adenomas

2021 ◽  
Vol 28 (4) ◽  
pp. 3115-3123
Author(s):  
Yue Fan ◽  
Shuguang Li ◽  
Shuting Yu ◽  
Xiaoli Zhu ◽  
Xiaohua Shi ◽  
...  
Keyword(s):  
Propensity Score ◽  
Parotid Gland ◽  
Facial Nerve ◽  
Propensity Score Matching ◽  
Transoral Approach ◽  
External Approach ◽  
Deep Lobe ◽  
Hospitalization Time ◽  
Pleomorphic Adenomas ◽  
Approach Group

To compare the outcomes of patients who had deep-lobe parotid gland pleomorphic adenomas (PAs) that extended into the parapharyngeal space after surgical treatment, using a transoral approach or an external approach. One hundred and twelve eligible patients, with deep-lobe parotid gland PAs, were enrolled in this retrospective study. The surgical outcomes were compared for patients who received a transoral approach and an external approach, using 1:1 propensity score matching (PSM). The outcome measures were recurrence rate, facial nerve deficit, Frey’s syndrome, and hospitalization time. The median follow-up time was 4.8 years. After PSM, the transoral approach and external approach groups had no statistically significant difference in recurrence (10.3% vs. 3.4%; p = 0.201). The transoral approach group had no facial nerve deficit, but 5 of 29 patients (17.2%) in the external approach group had transient facial nerve paralysis (p = 0.052). The external approach group had a longer hospitalization time than the transoral approach group (5 vs. 4 days, p = 0.0017). The use of a transoral surgical approach to treat patients with deep-lobe parotid gland PAs led to low recurrence, shorter hospitalization times, and good functional and cosmetic outcomes.

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