Well-differentiated liposarcoma arising in the parapharyngeal space: a case report and review of the literature

2015 ◽  
Vol 129 (S2) ◽  
pp. S86-S90 ◽  
Author(s):  
N Kikuchi ◽  
T Nakashima ◽  
J Fukushima ◽  
K Nariyama ◽  
S Komune
Keyword(s):  
Case Report ◽  
Parapharyngeal Space ◽  
Case Reports ◽  
Surgical Margin ◽  
Neck Region ◽  
Surgical Excision ◽  
Curative Therapy ◽  
Long Term Follow Up ◽  
Well Differentiated

AbstractBackground:Liposarcomas rarely occur in the parapharyngeal space and only a few case reports exist. For curative therapy of liposarcoma, surgical excision remains the dominant modality. Although a wide surgical margin is important to prevent local recurrence, wide excision is often difficult in the head and neck region.Case report:We report a case of a 19-year-old female with a well-differentiated liposarcoma arising in the parapharyngeal space. We removed the tumour surgically utilising a cervical–parotid approach. The histological diagnosis was well-differentiated sclerosing liposarcoma. There is no recurrence after five years and nine months of follow up.Conclusion:The patient's age and the tumour site made it difficult for us to make a quantitative diagnosis before the operation. Well-differentiated liposarcoma rarely develop distant metastasis, but often recur locally. The benefit of adjuvant radiotherapy for well-differentiated liposarcoma is still not clear and careful and long-term follow up is necessary.

scholarly journals Huge true aneurysm of the facial artery treated with internal trapping and surgical excision: a case report

2020 ◽  
Vol 2020 (9) ◽  
Author(s):  
Kiyoko Nakagawa ◽  
Takuji Yasuda ◽  
Natsuko Kobayashi ◽  
Kazuhiko Urabe
Keyword(s):  
Case Report ◽  
Case Reports ◽  
Surgical Excision ◽  
Facial Artery ◽  
True Aneurysm ◽  
The Right

Abstract A report of true aneurysms is extremely rare. There are only five previous case reports of true aneurysm of the facial artery. In the previously reported cases, there was no case that underwent trapping and surgical excision. In this case report, we describe the procedure of internal trapping before the surgical excision of a huge true aneurysm of the right facial artery for a 79-year-old woman. There was no recurrence of the aneurysm during a 6-month follow-up period.

Hemangiopericytoma – a case report of a rare tumour of the parapharyngeal space

2017 ◽  
Vol 6 (2) ◽  
pp. 56-63
Author(s):  
Klaudia Cybulska ◽  
Małgorzata Jarosz ◽  
Anna Rzepakowska ◽  
Kazimierz Niemczyk
Keyword(s):  
Case Report ◽  
Parapharyngeal Space ◽  
Histopathological Examination ◽  
Therapeutic Process ◽  
Surgical Excision ◽  
Lower Limbs ◽  
Diagnostic Process ◽  
Tumour Resection ◽  
Rare Tumour ◽  
Long Term Follow Up

Introduction: Hemangiopericytoma is a mesenchymal tumour originating from pericytes surrounding the capillary vessels. The etiology of this tumour is still unknown. It may be located in any part of the human body. The most common sites are pelvis and lower limbs and less often it occurs in the head and neck. The characteristic signs of hemangiopericytoma are slow growth regardless of the malignancy level and high vascularity. Surgical excision of the tumour with additional radiotherapy is the treatment of choice. Case report: A symptom presentation and diagnostic-therapeutic process in a 71-year-old woman admitted to the Department of Otolaryngology of the Medical University of Warsaw due to increasing bilateral nasal obstruction and dysphagia is herein described. Diagnostic imaging showed highly vascularized tumour in the parapharyngeal space also obstructing the left side of the nasopharynx. After evaluation, tumour resection from the external approach was planned and performed, followed by an uncomplicated postoperative course. Histopathological examination revealed hemangiopericytoma. The patient was qualified for adjuvant radiotherapy. She stays under observation with no signs of recurrence since surgery. Conclusions: Hemangiopericytoma is a rare tumour with a wide variety of clinical presentations and a relapse-free survival that is difficult to predict. Long-lasting asymptomatic tumour growth results in late diagnosis. Imaging and primarily, histopathological examination are fundamental for the diagnostic process. The best outcome is observed after radical surgical treatment. In order to reduce the risk of recurrence, additional radiotherapy is advised. Local recurrence may appear years after finished treatment, therefore long-term follow-up is essential.

scholarly journals Challenges in Management of Bartholin gland Leiomyoma: A Case Report

2020 ◽  
Author(s):  
Angela Vinturache ◽  
Lamiese Ismail ◽  
Stephen Damato ◽  
Hooman Soleymani Maid
Keyword(s):  
Case Report ◽  
Case Reports ◽  
Symptom Control ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Postoperative Recovery ◽  
Long Term Follow Up ◽  
Vulvar Mass

Abstract Background: Leiomyomas are uncommon vulvar neoplasms often misdiagnosed as other Bartholin gland pathology. Due to their rarity and the absence of guidelines, their diagnosis and management remain challenging, largely based on expert opinion and evidence from case reports. Case Presentation: This case report describes a 44-year-old woman presenting with accelerating growth of a vulvar mass. Based on clinical signs and symptoms, the initial diagnosis was Bartholin cyst. Surgical excision was provided for symptom control and aesthetic reasons. The histopathologic diagnosis was vulvar leiomyoma. The postoperative recovery was complicated by secondary haematoma and dehiscence of the surgical site. There was no recurrence at two years follow up. Therefore, we discuss the dilemma posed by physical examination of a vulvar mass, the challenges of the management, and report on secondary morbidity and long-term follow up, aspects of care for patients with vulvar pathology not commonly addressed in the literature. Conclusions: Bartholin gland neoplasms are rare tumors, commonly misdiagnosed as Bartholin’s cysts. Excision is the treatment of choice. Short time follow up allows prompt management of potential postoperative complications. Continuing long term follow up is recommended due to recurrence risk.

scholarly journals Giant Low-Grade Fibromyxoid Sarcoma in the Neck

2020 ◽  
Vol 63 (9) ◽  
pp. 432-435
Author(s):  
Jong Min Park ◽  
Hye Rin Lim ◽  
Jo Heon Kim ◽  
Dong Hoon Lee
Keyword(s):  
Neck Region ◽  
Surgical Excision ◽  
Late Recurrence ◽  
Low Grade ◽  
Head And Neck Region ◽  
Long Term Follow Up ◽  
Fibromyxoid Sarcoma ◽  
Middle Aged Adults

Low-grade fibromyxoid sarcoma (LGFS) is a soft tissue tumor that rarely occurs in the head and neck region. It occurs mainly in the proximal extremities and the trunk and is prevalent in the young and middle-aged adults. In the present case, LGFS was present at an atypical location and at an unusual age. The treatment of choice for LGFS is radical wide surgical excision with a clear margin. Long-term follow-up is essential for all patients with LGFS, as it has the potential for late recurrence or metastasis.

scholarly journals Surgical Excision Can be a Management Option in Riedel Thyroiditis: Case Report with Long Term Follow up

2016 ◽  
Vol 24 (4) ◽  
pp. 365-368
Author(s):  
Hakan KORKMAZ ◽  
Meltem TULĞAR ◽  
Güleser SAYLAM ◽  
Engin DURSUN ◽  
Adil ERYILMAZ
Keyword(s):  
Case Report ◽  
Surgical Excision ◽  
Management Option ◽  
Long Term Follow Up

Fibromatosis aggressiva of parapharyngeal space – a case report and review of literature.

2017 ◽  
Vol 6 (2) ◽  
pp. 10-15
Author(s):  
Angelika Piotrowska ◽  
Anna Rzepakowska ◽  
Piotr Chęciński ◽  
Kazimierz Niemczyk
Keyword(s):  
Parapharyngeal Space ◽  
Neck Region ◽  
Aggressive Fibromatosis ◽  
Surgical Excision ◽  
Review Of Literature ◽  
Head And Neck Region ◽  
Desmoid Fibromatosis ◽  
Complete Surgical Excision ◽  
High Local Recurrence Rate

Desmoid fibromatosis is defined as a rare fibroblastic proliferation. Although histologically benign, desmoids are locally invasive and associated with a high local recurrence rate. When located in the head and neck region, fibromatosis tends to be more aggressive and associated with significant morbidity, which may be attributed to the proximity of the vital structures. We report a case of 33-year-old woman with aggressive fibromatosis of parapharyngeal space. Complete surgical excision of the lesion was performed and the postoperative period was without complications. The patient remains under careful follow-up and there is no recurrence of the disease.

Malignant transformation of leiomyoma of the mandible into leiomyosarcoma: A case report

2020 ◽  
Author(s):  
Masoud Fallahi Motlagh ◽  
Yousef Janbaz ◽  
Zahra Mirzaei
Keyword(s):  
Case Report ◽  
Spindle Cell ◽  
Neck Region ◽  
Surgical Excision ◽  
Metastatic Tumor ◽  
Cell Tumor ◽  
Spindle Cell Tumor ◽  
Head And Neck Region ◽  
Clinical Appearance

Lelomyosarcoma(LMS) is an uncommon malignant spindle cell tumor of the head and neck region. It is extremely rare in the oral cavity that arises from smooth muscle differentiation. It may arise as primary, radiation-associated, or metastatic tumor. The clinical appearance of these tumors can be deceptively benign and can be mistaken for non-malignant conditions. Here We present a case with atypical leiomyoma of the mandible in a 40-year- old man who referred with complaint of pain and swelling in his jaw. He underwent surgery and histology and immonohistochemestery studies confirmed the diagnosis. After 6 months recurrence occurred. Histologic examination confirmed leiomyosarcoma so he was managed with surgical excision followed by radiotherapy and chemotherapy without any recurrence or metastasis after 2 years of follow-up.

scholarly journals Adult False Vocal Cord Cavernous Lymphangioma Presenting with Hemoptysis: A Case Report

2021 ◽  
pp. 014556132110471
Author(s):  
Lee Chin-Tse ◽  
Tsai Meng-Chen ◽  
Chang Shih-Lun
Keyword(s):  
Case Report ◽  
Vocal Cord ◽  
Direct Laryngoscopy ◽  
Lymphatic System ◽  
Neck Region ◽  
Surgical Excision ◽  
Benign Tumors ◽  
Head And Neck Region ◽  
False Vocal

Lymphangiomas are rare benign tumors of the lymphatic system, most often found at birth and before the age of 2 years. The head and neck region are the most frequent locations for lymphangioma. Involvement of the adult larynx in isolation is rare, and only a few cases have been reported so far. We report the case of a patient with a left false vocal cord reddish tumor presenting with hemoptysis and voice cracking. The surgical excision of mass was performed by direct laryngoscopy-assisted CO2 laser. The histopathological report revealed the diagnosis as cavernous lymphangioma. After a follow-up of 1 year, the patient is free of recurrence with all laryngeal functions being normal.

scholarly journals Myxoid Chondrosarcoma of the Hyoid Bone

2018 ◽  
Vol 26 (3) ◽  
pp. 230-233
Author(s):  
Kinjal Majumdar ◽  
Nirmalya Samanta ◽  
Devjani Ghosh Shrestha ◽  
Kasturi Mondal ◽  
Utpal Jana
Keyword(s):  
Case Report ◽  
Hyoid Bone ◽  
Surgical Excision ◽  
Neck Mass ◽  
Incomplete Removal ◽  
Long Term Follow Up ◽  
Cervical Approach ◽  
Magnetic Resonance Imaging Mri

Introduction Chondrosarcoma of hyoid bone is very rare with only 19 cases still reported. We, therefore, present this case report for the interest of medical literature to make clinicians aware of the disease. Case Report They usually present as a slow growing upper neck mass. Computed tomography (CT) and magnetic resonance imaging (MRI) are useful radiologic investigations. The tumour was resected through a trans-cervical approach. Definite diagnosis was made by postoperative histopathology and immunohistochemistry. Discussion Surgical excision is the treatment of choice for local control. Incomplete removal is a risk factor for recurrence and possible dedifferentiation. Long term follow up is necessary.

scholarly journals Implant- and tooth-supported removable partial dentures: a case report

2020 ◽  
Vol 68 ◽  
Author(s):  
Jéssyca Maria França de Oliveira MELO ◽  
Eduardo de Farias BARBOSA
Keyword(s):  
Case Report ◽  
Clinical Case ◽  
Case Reports ◽  
Motor Impairment ◽  
Oral Rehabilitation ◽  
Anterior Teeth ◽  
Long Term Follow Up ◽  
Senile Patient

ABSTRACT This study aimed to report treatment of a patient with Kennedy’s class l maxillary and class II mandibular arch with removable partial dentures supported on an external hexagon (HE) anterior type implant of regular diameter fitted with an O’ring type of attachment. This clinical case reports the oral rehabilitation of a senile patient whose clinical examination revealed missing dentition in the upper and lower arches, attrition of the lower anterior teeth, caries, and motor impairment affecting hygiene, mastication, and esthetic functions. Due to few severely impaired teeth, the pre-prosthetic preparation included extractions and restorations, followed by the fabrication of upper and lower removable partial dentures supported by an HE-type implant. This study is important because it addresses the current challenges faced in the implementation of treatment involving removable partial dentures combined with implants, which is a topic that still needs long-term follow-up and research.

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