A New Primary in Parotid Gland with History of Treated Mediastinal Solitary Fibrous Tumour

Solitary fibrous tumours (SFTs) are rare tumours in the head and neck region. They have been reported in many anatomic sites but occurrence in the parotid gland is exceptional. We report a very rare finding of a benign SFT of the parotid gland in a patient with a past history of excision of a malignant type of mediastinal tumour. It is important that clinicians are aware of the possible existence of SFT in the parotid as a synchronous lesion or occurrence of the same disease later on elsewhere when SFT is diagnosed at one anatomical site. This case report illustrates that regular clinical and imaging follow-up is essential in SFTs to look for the appearance of new lesions in the other anatomic site.

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Primary carcinoid tumour of nasal septum

The Journal of Laryngology & Otology ◽

10.1017/s0022215108003411 ◽

2008 ◽

Vol 123 (7) ◽

pp. 789-792 ◽

Cited By ~ 6

Author(s):

T Galm ◽

N Turner

Keyword(s):

Nasal Septum ◽

World Literature ◽

Carcinoid Syndrome ◽

Carcinoid Tumour ◽

Primary Tumour ◽

Neck Region ◽

Head And Neck Region ◽

Carcinoid Tumours ◽

History Of

AbstractObjective:We present the first reported case of primary carcinoid tumour of the nasal septum.Method:Case report of our experience of a carcinoid tumour of the nasal septum. We discuss our clinical, radiological and pathological findings.Result:An 83-year-old woman presented with a history of left-sided nasal blockage. Clinical examination showed a unilateral, left-sided nasal polyp. Further imaging and histological analysis confirmed this to be a carcinoid tumour. Carcinoid tumours outside the gastrointestinal tract are rare. There have been reports of carcinoid tumours in the head and neck region, but no published cases occurring in the nasal septum. Our management involved wide surgical resection with regular follow up to monitor for recurrence and for the development of carcinoid syndrome. Four years from initial presentation, the patient remained free of the primary tumour and had displayed no signs or symptoms suggestive of carcinoid syndrome.Conclusion:To the authors' best knowledge, and after searching the world literature, the presented case represents the first report of primary carcinoid tumour of the nasal septum. Despite its rarity, this tumour should be considered as part of the differential diagnosis, as timely recognition and intervention are critical for successful treatment.

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Retropharyngeal space lipoma: an unusual cause of dysphagia

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20210175 ◽

2021 ◽

Vol 7 (2) ◽

pp. 379

Author(s):

Chinyere N. Asoegwu ◽

Nkiruka A. Wakwe ◽

Clement C. Nwawolo

Keyword(s):

Neck Region ◽

Positive Sign ◽

Barium Swallow ◽

Retropharyngeal Space ◽

Head And Neck Region ◽

Solid Foods ◽

Presenting Symptoms ◽

History Of ◽

Progressive Dysphagia

Lipomas are uncommon in the head and neck region and rare in the retropharyngeal space. Lipoma of the retropharyngeal space may cause aerodigestive tract obstruction presenting as dyspnea and or dysphagia. The presenting symptoms will depend on the size and site of the lipoma in the retropharyngeal space. We present the case of a 57 years old male with 6 months’ history of progressive dysphagia to solid foods only and no positive sign on clinical examination. The barium swallow was normal. The computed tomography (CT) scan showed a moderate-sized homogenous mass of fat density in the hypopharyngeal section of the retropharyngeal space. Diagnosis of dysphagia caused by retropharyngeal lipoma was made. This was surgically excised via the trans-cervical route with no complications, complete resolution of symptoms, and no recurrence 2 years after on follow-up. In the dysphagia of unknown cause, retropharyngeal space lipoma should be considered.

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Castleman Disease of the Parotid Gland: A Report of a Case

Case Reports in Otolaryngology ◽

10.1155/2015/265187 ◽

2015 ◽

Vol 2015 ◽

pp. 1-3 ◽

Cited By ~ 1

Author(s):

Fawaz Abo-Alhassan ◽

Fatemah Faras ◽

Jassem Bastaki ◽

Mutlaq K. Al-Sihan

Keyword(s):

Parotid Gland ◽

Head And Neck ◽

Lymphoproliferative Disorder ◽

Neck Region ◽

Excisional Biopsy ◽

Castleman Disease ◽

Unknown Etiology ◽

Common Site ◽

Head And Neck Region ◽

History Of

Castleman disease is an extremely rare benign lymphoproliferative disorder of unknown etiology. It affects the lymphatic chain in anybody region, although the commonest site is the mediastinum. The head and neck region is the second most common site; however, the salivary glands are rarely affected. We report a case of a 29-year-old Asian lady who presented with a 2-year history of an enlarging left parotid mass. Histopathology of the excisional biopsy confirmed the diagnosis of Castleman disease.

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Parotid gland-recovery after radiotherapy in the head and neck region - 36 months follow-up of a prospective clinical study

Radiation Oncology ◽

10.1186/1748-717x-6-125 ◽

2011 ◽

Vol 6 (1) ◽

pp. 125 ◽

Cited By ~ 29

Author(s):

Jeremias Hey ◽

Juergen Setz ◽

Reinhard Gerlach ◽

Martin Janich ◽

Guido Hildebrandt ◽

...

Keyword(s):

Clinical Study ◽

Parotid Gland ◽

Head And Neck ◽

Neck Region ◽

Prospective Clinical Study ◽

Head And Neck Region

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Myeloid Sarcoma of the Head and Neck Region

Archives of Pathology & Laboratory Medicine ◽

10.5858/arpa.2012-0537-oa ◽

2013 ◽

Vol 137 (11) ◽

pp. 1560-1568 ◽

Cited By ~ 25

Author(s):

Jane Zhou ◽

Diana Bell ◽

L. Jeffrey Medeiros

Keyword(s):

Head And Neck ◽

Low Frequency ◽

Neck Region ◽

Immunohistochemical Analysis ◽

Myeloid Sarcoma ◽

Head And Neck Region ◽

Bone Marrow Disease ◽

Highly Sensitive ◽

History Of ◽

High Degree

Context.—Myeloid sarcoma of the head and neck region can pose diagnostic challenges because of the low frequency of myeloid sarcoma and the potential for tumors of almost any lineage to occur in the head and neck. Objective.—To study the clinicopathologic and immunohistochemical characteristics of myeloid sarcoma in the head and neck region and to review the differential diagnosis. Design.—We searched for cases of myeloid sarcoma involving the head and neck region for a 24-year period at our institution. The medical records and pathology slides were reviewed. Additional immunohistochemical stains were performed. Results.—We identified 17 patients, age 17 to 85 years. Most tumors involved the oral cavity. Myeloid sarcoma was the initial diagnosis in 9 patients (53%); the remaining 8 patients (47%) had a history of bone marrow disease. Immunohistochemical analysis using antibodies specific for lysozyme, CD43, and CD68 were highly sensitive for diagnosis but were not specific. By contrast, assessment for myeloperoxidase in this study was less sensitive but more specific. We also used antibodies specific for CD11c and CD33 in a subset of cases, and these reagents seem helpful as well. Conclusions.—The clinical presentation of myeloid sarcoma involving the head and neck, particularly the mouth, is often nonspecific, and a high degree of suspicion for the possibility of myeloid sarcoma is needed. Immunohistochemistry is very helpful for establishing the diagnosis.

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OSTEORADIONEKROSIS PASCA EKSTRAKSI GIGI PASIEN DENGAN RIWAYAT KANKER NASOFARING

ODONTO Dental Journal ◽

10.30659/odj.6.1.19-22 ◽

2019 ◽

Vol 6 (1) ◽

pp. 19

Author(s):

Yayun Siti Rochmah

Keyword(s):

Neck Region ◽

The Body ◽

Dental Extraction ◽

Head And Neck Region ◽

Radio Therapy ◽

Patient Reported ◽

Immunity Factor ◽

History Of ◽

Post Radiation ◽

One Year

Background: Osteoradionecrosis (ORN) post dental extraction is post dentalextraction complication with post radiation cancer theraphy. Objective : to present rare case, ORN post dental extraction with post radiation Ca nasopharing therapy 3 years ago.Case Management: A 54 years old patient reported to the dental out-patient department with a chief complaint of pus discharge from right buccal since post dental extraction 6 months ago. He gave a history of a nasopharing Carcinoma with histopatology as squamous cell carcinoms 3 years ago and radio therapy but no surgery. Intraoral examination, exposed necrotic bone found from right lower retromolar area 46 with pus discharge. Radiographic view was likely squester. Local surgical debridement and the sequestrectomy was undertaken with general anaesthesia. Antibiotic injection treatment was ceftriaxon 2x 1gram, infus metronidazol 3x500 mg and ketorolac 3x1 ampul, the patient was treated for 3 days and educated to maintain his oral hygiene with povidone iodine gargle.Discussion: Osteoradionecrosis (ORN) is late effect of radiation therapy thatresults in irreversible tissue death, which is clinically observed as bony exposure for more than 3 months duration. The mandible is affected more often than the maxilla or any other bones of head and neck region. The incidence of ORN in the mandible is reported to be between 2% and 22% and most often affects the body of the mandible. Ideal time is one year minimal post radiotherapy to get maximal vascularization for optimal healing. But immunity factor and radiation doses can trigger emergense ORN.Conclusion: Need time consideration, clinic analysis and pathologys before doing dental extraction for post radiotherapy cancer cases to prevent ORN.

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Chondroid syringoma of the upper lip: a rare entity

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20204198 ◽

2020 ◽

Vol 6 (10) ◽

pp. 1900

Author(s):

Ashiya Goel ◽

Aman . ◽

Vinny Raheja ◽

Manisha Kumari

Keyword(s):

Differential Diagnosis ◽

Normal Tissue ◽

Neck Region ◽

Rare Entity ◽

Upper Lip ◽

Head And Neck Region ◽

Chondroid Syringoma ◽

The Face ◽

Slow Growing

Chondroid syringomas are uncommon cutaneous neoplasms of sweat gland origin which are slow-growing, nontender, subcutaneous or intracutaneous in location and often occurring in the head and neck region. Chondroid syringoma should be considered in the differential diagnosis of any subcutaneous nodule over the face. The clinician may miss the diagnosis of this lesion and if it is suspected, tumour should be excised with a margin of normal tissue and regular follow up should be done.

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The Rare Cases of Parotid Gland Arteriovenous Malformations

Case Reports in Otolaryngology ◽

10.1155/2021/6072155 ◽

2021 ◽

Vol 2021 ◽

pp. 1-5

Author(s):

Manish Gupta ◽

Vijay Shrawan Nijhawan ◽

Cynthia Kaur ◽

Sukhpreet Kaur ◽

Akanksha Gupta

Keyword(s):

Parotid Gland ◽

Arteriovenous Malformation ◽

Head And Neck ◽

Arteriovenous Malformations ◽

Neck Region ◽

Histopathological Study ◽

Head And Neck Region ◽

Parotid Region ◽

Venous Circulation ◽

Patient Setup

Arteriovenous malformation (AVM) results from errors in vascular development during embryogenesis; absent capillary beds lead to shunting directly from the arterial to venous circulation. Although it is common in the head and neck region, AVMs located in the parotid gland are quite rare. Here, we report two cases of arteriovenous malformation of the parotid gland that presented to our out-patient setup with swelling in the parotid region and were diagnosed as arteriovenous malformation on histopathological study after surgical resection.

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Childhood Pilomatrixoma: Case Series from a Single Center

Trends in Pediatrics ◽

10.5222/tp.2020.43534 ◽

2020 ◽

Author(s):

Begümhan Demir Gündoğan ◽

Fatih Sağcan ◽

Mehmet Alakaya ◽

Ferah Tuncel Daloğlu ◽

Elvan Çağlar Çıtak

Keyword(s):

Differential Diagnosis ◽

Medical Records ◽

Clinical Presentation ◽

Case Series ◽

Neck Region ◽

Head And Neck Region ◽

Common Causes ◽

Institutional Experience ◽

History Of ◽

Associated Conditions

INTRODUCTION: The aim of this study is to describe our institutional experience with pilomatrixoma in children, specifically examining its clinical presentation, associated conditions, radiological and pathological findings and attract attention to differential diagnosis for this tumor. METHODS: The medical records of 52 patients were reviewed retrospectively. RESULTS: There were a total of 62 tumors in 52 children. The median age at excision was 9.5 years old. Tumors were predominantly located in head and neck region (48.4%). One patient had a family history of pilomatrixoma. One patient had Turner Syndrome and one had Tuberous Sclerosis complex. Fifty-four lesions were examined by ultrasonography (USG). Pilomatrixoma was considered in the differential diagnosis in eight patients (15.3%) by a radiologist. DISCUSSION AND CONCLUSION: Pilomatrixoma is one of the most common causes of superficial masses in children. It should be kept in mind for differential diagnosis in children with superficial masses.

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Oral Antithrombotic Use Among Myocardial Infarction Patients

Annals of Pharmacotherapy ◽

10.1345/aph.1c038 ◽

2003 ◽

Vol 37 (1) ◽

pp. 143-146 ◽

Cited By ~ 2

Author(s):

Menno E van der Elst ◽

Nelly Cisneros-Gonzalez ◽

Cornelis J de Blaey ◽

Henk Buurma ◽

Anthonius de Boer

Keyword(s):

Myocardial Infarction ◽

Record Linkage ◽

Antithrombotic Therapy ◽

Past History ◽

Oral Anticoagulants ◽

Antiplatelet Agents ◽

Antithrombotic Treatment ◽

History Of ◽

Using Data

OBJECTIVE To examine the use of oral antithrombotics (i.e., antiplatelet agents, oral anticoagulants) after myocardial infarction (MI) in the Netherlands from 1988 to 1998. METHODS Retrospective follow-up of 3800 patients with MI, using data from the PHARMO Record Linkage System. RESULTS From 1988 to 1998, oral antithrombotic treatment increased significantly from 54.0% to 88.9%. In 1998, only 75.8% of patients who experienced a MI in the late 1980s received oral antithrombotic treatment compared with 94.4% of those who experienced a recent MI. CONCLUSIONS Oral antithrombotics were considerably underused in patients with a past history of MI. Therefore, these patients should be reviewed for antithrombotic therapy to assess whether their failure to use oral antithrombotics was right or wrong, and whether treatment should be initiated if possible.

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