Substernocleidomastoid Muscle Neck Lipoma: An Isolated Case Report

Introduction. We report this large neck mass, located behind the sternocleidomastoid (SCM) within the posterior cervical space and anterior to the prevertebral fascia. The mass is displacing the carotid sheath and its neurovascular contents medially. It extends almost the whole length of the SCM muscle all the way down to the lung apex. Case Presentation. A 30-year-old female patient presented to our clinic with a left anterior neck mass for a few months with dysphagia. The lipoma was excised completely along with level II to IV lymphadenectomy. A very small volume chyle leak was noted intraoperatively. The drain was removed 2 weeks later only to recur in one month. A new drain was placed by interventional radiology, and the drainage resolved completely. Discussion. The patient with mild dysphagia had a lipoma large enough to push vital structures away from their normal anatomical position. Due to the difficult location and the size of the lipoma, a meticulous formal lateral neck dissection was required. A 3D imaging like CT or MRI would be helpful to preoperatively plan the dissection. Substernocleidomastoid neck lipoma in our case is a rare benign tumor that was challenging to excise.

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Iatrogenic fetal goiter. Conservative management and spontaneous resolution

Case Reports in Perinatal Medicine ◽

10.1515/crpm-2019-0074 ◽

2020 ◽

Vol 9 (1) ◽

Author(s):

Margarita Alvarez de la Rosa ◽

Olga Rosales Aedo ◽

Ricardo Darias Garzón ◽

Ana Isabel Padilla Pérez ◽

Juan Mario Troyano Luque

Keyword(s):

Conservative Treatment ◽

Perinatal Asphyxia ◽

Mass Effect ◽

Neck Mass ◽

Spontaneous Resolution ◽

Anterior Neck ◽

Case Presentation ◽

Fetal Goiter ◽

Fetal Thyroid ◽

Intrauterine Treatment

AbstractObjectivesWe aim to report a case of a fetal goiter with postpartum spontaneous resolution. Fetal goiter can be secondary to maternal treatment and range from clinically asymptomatic or cause alterations in the fetus, from impaired swallowing to difficulty in vaginal delivery and even perinatal asphyxia due to the mass effect. The need for intrauterine treatment remains controversial.Case presentationWe present a case of fetal goiter with postpartum resolution. A 34-year-old multigravida presented to the emergency department with hiperemesis gravidarum at 10 weeks’ gestation. During evaluation for severe vomiting, Graves disease was diagnosed and treated with propylthiouracil. A routine ultrasound scan at 28 weeks gestation revealed a fetal anterior neck mass suggesting a fetal goiter. Cordocentesis showed fetal iatrogenic hypothyroidism. Conservative treatment was decided. Pregnancy concluded uneventful and the mass resolved spontaneously in the newborn.ConclusionsThe fetal thyroid gland is a structure that usually goes unnoticed during the process of prenatal diagnosis. In cases of maternal Graves diseases, fetal thyroid needs monitoring during pregnancy and conservative treatment is an option. Fetal goiter should be searched for secondary to thyroid alterations of the gravida, and in selected cases it can be managed without intrauterine treatment.

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Fetus diagnosed with cervical teratoma delivered by exit procedure (Extra uterine intrapartum treatment)

Women s Health ◽

10.15406/mojwh.2021.10.00298 ◽

2021 ◽

Vol 10 (4) ◽

pp. 107-109

Author(s):

Sally Damra Elnour Mohammed ◽

Rami Salaheldien ◽

Badreldeen Ahmed

Keyword(s):

Head And Neck ◽

Neck Mass ◽

National Hospital ◽

Maternal Circulation ◽

Anterior Neck ◽

Female Fetus ◽

Case Presentation ◽

Cervical Teratoma ◽

Exit Procedure ◽

Rare Tumours

Congenital cervical teratomas are rare tumours of germ cells that should be diagnosed antenatally by ultrasound during anomaly scan or even earlier. The incidence of teratomas of the head and neck is 3-5%. We are presenting a case of rare cervical teratoma.1 Congenital cervical tumours are often clinically dramatic, though basically benign. Prognosis is favourable only if the airway is quickly stabilized and necessarily surgical procedure is planned and executed effectively.2 Case presentation: A 34-year-old female presented at 32 weeks of gestation, at Al Amal National Hospital where an ultrasound examination revealed a single viable cephalic fetus with a huge irregular heterogeneous anterior neck mass suspected as congenital cervical neck teratoma. The delivery was planned at 37 weeks gestation. The team was assembled for EXIT procedure which includes the obstetricians, neonatologist, anthologist, ENT surgeons. At 37 weeks of gestation, the child was maintained on maternal circulation after caesarean section until successfully intubated (Extra Uterine Intrapartum Treatment (EXIT) was performed at Al Amal National Hospital after liaison with the anesthetist, neonatologist and the pediatric surgeon. A female fetus weighing 3.8 kg was delivered and intubated immediately. Unfortunately, the newborn died at 48hours of age. Conclusion: Prenatally diagnosed head and neck teratomas can result in early neonatal death if the delivery was not planned correctly with right multidisciplinary team. In this case EXIT is the procedure of choice.

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Two cases of malignant thymoma presenting as an anterior neck mass and misdiagnosed as thyroid carcinoma

International Journal of Clinical Oncology ◽

10.1007/s101470050039 ◽

1999 ◽

Vol 4 (2) ◽

pp. 118-120 ◽

Cited By ~ 2

Author(s):

T. Kobayashi ◽

Hideki Asakawa ◽

Kazunori Taniguchi ◽

Yoshifumi Komoike ◽

Yasuhiro Tamaki ◽

...

Keyword(s):

Thyroid Carcinoma ◽

Neck Mass ◽

Anterior Neck ◽

Malignant Thymoma

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Pancreatic inflammatory myofibroblastic of the pancreatic neck: a case report and literature review

10.21203/rs.3.rs-131102/v2 ◽

2020 ◽

Author(s):

Zhitao Chen ◽

Yaoxiang Lin ◽

Mengxia Li ◽

Ting Zhang ◽

Lele Zhang ◽

...

Keyword(s):

Pancreatic Cancer ◽

Inflammatory Myofibroblastic Tumor ◽

Inflammatory Cell ◽

Pancreatic Neuroendocrine Tumor ◽

Neck Mass ◽

Pathological Diagnosis ◽

Unique Case ◽

Case Presentation ◽

Histological Features ◽

Pancreatic Neck

Abstract BackgroundPancreatic inflammatory myofibroblastic tumor (IMT) is a relatively rare disease, which is often confused with pancreatic cancer or pancreatic neuroendocrine tumor. Its histological features are fibroblast and myofibroblast proliferation, accompanied by varying degrees of inflammatory cell infiltration. Case presentationHerein, we presented the management of IMT occurring at the neck of pancreas. A 66-year-old female patient was diagnosed as pancreatic neck mass after a series of tests. Then she underwent enucleation of pancreatic neck tumor followed by pathological diagnosis of IMT. Meanwhile, we reviewed the clinical features and pathological diagnosis and treatment of pancreatic IMT which were previously reported. To our knowledge, this is the unique case of enucleation of pancreatic IMT. ConclusionIn the management of pancreatic IMT, we concluded that enucleation may be a safe and efficient surgical method for the management of pancreatic IMT and may also provide a better prognosis. Further accumulation of cases is required to explore the surgical measure of pancreatic IMTs.

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Head and neck inflammatory pseudotumor: Case series and review of the literature

The Neuroradiology Journal ◽

10.1177/1971400916665377 ◽

2016 ◽

Vol 29 (6) ◽

pp. 440-446 ◽

Cited By ~ 6

Author(s):

Sagar Kansara ◽

Diana Bell ◽

Jason Johnson ◽

Mark Zafereo

Keyword(s):

Head And Neck ◽

Inflammatory Pseudotumor ◽

Case Series ◽

Surgical Excision ◽

Excisional Biopsy ◽

Disease Recurrence ◽

Neck Mass ◽

Level Ii ◽

Oral Corticosteroids ◽

Inflammatory Pseudotumors

Inflammatory pseudotumor (IP) is an uncommon idiopathic lesion that often imitates malignancy clinically and radiologically. Inflammatory pseudotumors have been found to occur in various sites but rarely in the head and neck. The histopathology, imaging, and treatment of three unique cases of head and neck inflammatory pseudotumors are described in this case series. Patients in Cases 1 and 2 presented with right level II neck mass and left parotid tail mass, respectively. The patient in Case 3 presented with otalgia, jaw pain and trismus, and a left parapharyngeal space mass. The tumors in Cases 1 and 3 significantly decreased in size with tapered courses of oral corticosteroids. The tumor in Case 2 was surgically excised without disease recurrence. Malignancy must be ruled out with incisional or excisional biopsy. Treatment includes surgical excision, oral corticosteroids, or both. The literature shows that radiotherapy and small-molecule inhibitors may be promising alternatives.

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Horner Syndrome from a Pediatric Otolaryngology Perspective

Annals of Otology Rhinology & Laryngology ◽

10.1177/0003489419877428 ◽

2019 ◽

Vol 129 (2) ◽

pp. 191-194 ◽

Cited By ~ 1

Author(s):

Kyra N. Folkert ◽

Heather de Beaufort ◽

Nancy M. Bauman

Keyword(s):

Pediatric Patients ◽

Excisional Biopsy ◽

Neck Mass ◽

Neural Pathways ◽

Horner Syndrome ◽

Pediatric Otolaryngology ◽

Level Ii ◽

Potentially Malignant ◽

Poorly Differentiated ◽

Clinical Triad

Introduction: Horner syndrome is described as the clinical triad of miosis, ptosis, and anhidrosis. In pediatric patients the condition may be congenital or acquired from neoplastic, infectious or traumatic conditions, including birth trauma. Most cases of pediatric Horner syndrome present first to a pediatric ophthalmologist however since the neural pathways involve the cervical sympathetic chain otolaryngologists should understand the pathophysiology to avoid delay in management of potentially malignant cases. Objectives: To aid otolaryngologists in recognizing and managing pediatric Horner syndrome by describing 3 unique cases from malignant, traumatic and/or congenital causes. Methods: Case report of 3 pediatric patients with Horner syndrome presenting to our pediatric otolaryngology department. Results: Case #1 is 5-month-old female with ptosis and a left level II 1.5 cm neck mass. Magnetic resonance imaging showed the mass displacing the common carotid artery and excisional biopsy revealed a poorly differentiated neuroblastoma. Case #2 is a 9-year-old female with anisocoria appearing after suffering a severe playground injury. Case #3 is a 3-year-old-male who developed ptosis and anisocoria following re-excision of a recurrent cervical lymphatic malformation. Conclusion: Pediatric Horner syndrome may be a benign finding that is easily overlooked but may reflect a serious underlying condition. Otolaryngologists should be aware of the pathophysiology and differential diagnosis, including malignant causes, to appropriately manage patients.

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Clinical Significance of Barium Swallow Fluoroscopy in Anterior Neck Mass Management

Dysphagia ◽

10.1007/s00455-021-10345-w ◽

2021 ◽

Author(s):

Yu-Hsuan Kuo ◽

Kuei-You Lin

Keyword(s):

Clinical Significance ◽

Neck Mass ◽

Barium Swallow ◽

Anterior Neck

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Ventriculoperitoneal shunt induced neck mass mimicking sternocleidomastoid tumour: a previously unreported complication

BMJ Case Reports ◽

10.1136/bcr-2019-233736 ◽

2020 ◽

Vol 13 (7) ◽

pp. e233736

Author(s):

Mahendra Kumar Jangid ◽

Reyaz Ahmad ◽

Garima Goel ◽

Sujeet Pandre

Keyword(s):

Ventriculoperitoneal Shunt ◽

Rare Complication ◽

Neck Mass ◽

Initial Operation ◽

Neck Movement ◽

Complete Excision ◽

Large Neck

Ventriculoperitoneal shunt (VPS) for hydrocephalus is associated with various complications. Torticollis due to shunt tract fibrosis is a rare complication of VPS that occurs years later after the initial operation. However, shunt track fibrosis that progressed to large neck mass, mimicking sternocleidomastoid tumour and causing torticollis is a previously unreported complication. This led to the restriction of neck movement and hemifacial hypoplasia. Complete excision of the mass restored neck movement.

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