scholarly journals Cervicofacial Actinomycosis in the Pediatric Population: Presentation and Management

2021 ◽  
pp. 000348942110212
Author(s):  
Karan Gandhi ◽  
Benjamin D. van der Woerd ◽  
M. Elise Graham ◽  
Michelle Barton ◽  
Julie E. Strychowsky
Keyword(s):  
Antibiotic Therapy ◽  
Head And Neck ◽  
Pediatric Population ◽  
Neck Region ◽  
Surgical Excision ◽  
Neck Infection ◽  
Congenital Lesions ◽  
Complete Surgical Excision ◽  
Secondary Infections ◽  
Sinus Drainage

Background: Infection caused by Actinomyces species is a rare cause of head and neck infection in children. This chronic cervicofacial infection can present with localized swelling, abscess formation, sinus drainage and can be complicated by osteomyelitis. Methods: Presented are 2 pediatric cases of secondary actinomycosis in the context of congenital lesions: 1 patient with a previously excised preauricular sinus and another with a persistent sublingual mass. A comprehensive literature search was conducted for reported cases of pediatric actinomycosis in the cervicofacial region. Results: Both cases presented were successfully treated with a combination of complete surgical excision of the lesions and prolonged antibiotic therapy. Thirty-four pediatric cases of cervicofacial actinomycosis are reviewed, 2 presented herein, and 32 from the published literature. There was equal gender distribution and the median age was 7.5 years. The most common site for infection was the submandibular area. Four (12%) of cases arose in pre-existing congenital lesions. Most patients were treated with penicillin-based antibiotics for a median duration of 6 months following surgical excision or debridement. Conclusions: Actinomycosis is a rare infection of the cervicofacial region; secondary infections arising from congenital lesions of the head and neck are even more rare. A previously excised pre-auricular sinus and a sublingual dermoid cyst are not previously reported sites of infection. Actinomycosis should be suspected in chronically draining sinuses of the head and neck region and confirmed through anaerobic culture. Osteomyelitis is a potential complication and magnetic resonance (MR) imaging is warranted. Long-term antibiotic therapy with a penicillin-based antibiotic and surgical excision should be considered.

scholarly journals A rare clinical case: schwannoma of tongue

2019 ◽  
Vol 5 (3) ◽  
pp. 789
Author(s):  
Chandra Veer Singh ◽  
Sheetal Radia ◽  
Saalim Sheikh ◽  
Vijay Haribhakti
Keyword(s):  
Head And Neck ◽  
Rare Case ◽  
Neck Region ◽  
Surgical Excision ◽  
Imaging Studies ◽  
Head And Neck Tumours ◽  
Head And Neck Region ◽  
Complete Surgical Excision ◽  
Slow Growing ◽  
Rule Out

<p class="abstract">Schwannoma are slow growing tumours, which can arise from any peripheral nerve. 10% of schwannomas that occur in the head and neck region mostly originate from the vagus or sympathetic nervous system. Extracranial schwannomas in the head and neck region are rare neoplasm. Intraoral schwannoma are only 1% of the all head and neck tumours. Diagnosis is established by imaging studies such as magnetic resonance imaging or computed tomography, while FNAC is used to rule out other conditions. We report a rare case of lingual schwannomas generally present as a painless lump schwannoma of the tongue in a 27-year-old male complaining of asymptomatic swelling over a posterolateral surface of the tongue, treated by complete surgical excision. The diagnosis was established on the basis of clinical, histopathological, and immunohistochemical examination. We report a rare case of schwannoma over the posterolateral surface of tongue. Prognosis is good for the patient when this condition is correctly diagnosed as the condition rarely recurs after complete resection.</p>

scholarly journals Atypical presentation and management of an epithelioid hemangioma: a case report and review of the literature

2020 ◽  
Vol 16 (1) ◽  
Author(s):  
Claire J. Wiggins ◽  
Rami P. Dibbs ◽  
Erica L. Bartlett ◽  
Daniel J. Ashton ◽  
Renata S. Maricevich
Keyword(s):  
Subcutaneous Tissue ◽  
Pediatric Population ◽  
Neck Region ◽  
Surgical Excision ◽  
Vascular Lesion ◽  
Vascular Anomalies ◽  
Preoperative Embolization ◽  
Epithelioid Hemangioma ◽  
Recommended Treatment ◽  
Complete Surgical Excision

Abstract Background Epithelioid hemangioma is a rare, benign vascular lesion classically presenting with painless nodules in the head and neck region. Hemangioma lesions are typically small, located within the dermis and subcutaneous tissue, and rarely exceed 10 cm in size. Complete surgical excision, with negative margins, is the recommended treatment as local recurrence is common. We describe an unusual presentation of epithelioid hemangioma that, to our knowledge, has not been previously described in the literature, epithelioid. Case presentation We report an atypical case of a large epithelioid hemangioma lesion with deep intramuscular involvement in a 16-year-old male. Ultrasound and MRI showed a hypervascular mass on the patient’s left upper back, and biopsy confirmed the diagnosis. Treatment consisted of preoperative embolization followed by excision and local tissue rearrangement. Conclusions Epithelioid hemangiomas are considered uncommon in the pediatric population. Moreover, it is challenging to diagnose these lesions due to their similarities to other vascular anomalies. We aim to increase awareness of this condition and obtain more precision in diagnosis, thus standardizing the approach for those treating individuals with vascular anomalies.

scholarly journals Lipofibromatosis: An Unusual Head and Neck Mass in the Paediatric Age Group

2011 ◽  
Vol 26 (1) ◽  
pp. 39-41
Author(s):  
Yogender Singh Kadian ◽  
Kamal Nain Rattan ◽  
Shalini Aggarwal ◽  
Shilpi Modi ◽  
Rajnish Kalra
Keyword(s):  
Head And Neck ◽  
Neck Region ◽  
Surgical Excision ◽  
Needle Aspiration ◽  
Neck Mass ◽  
Soft Tissue Neoplasm ◽  
Complete Excision ◽  
Complete Surgical Excision ◽  
Paediatric Age ◽  
Rare Lesion

Objective: To describe a rare case of lipofibromatosis presenting as a head and neck mass in a 6-year-old child.   Method: Design: Case Report Setting: Tertiary Public General Hospital Patient: One   Result: A six-year-old male child admitted with a large right head and neck region mass underwent complete excision of a possible soft tissue neoplasm following investigations which included Fine Needle Aspiration Cytology, Ultrasonography and Computed Tomography. Histopathological examination yielded lipofibromatosis, a very rare lesion with a distinctive fibrofatty pattern. The patient was well with no recurrence after three months of follow up.   Conclusion: Although lipofibromatosis is a rare lesion in children and has a predilection for distal extremities, it may also present as a mass in the head and neck area. Complete surgical excision is feasible and is the only treatment option available for this rare lesion   Keywords: lipofibromatosis

scholarly journals A case report of giant anterior neck lipoma

2020 ◽  
Vol 6 (6) ◽  
pp. 1213
Author(s):  
Shalini Jain ◽  
Sahil Maingi ◽  
Ancy S. Sofia ◽  
A. K. Rai
Keyword(s):  
Case Report ◽  
Head And Neck ◽  
Neck Region ◽  
Surgical Excision ◽  
The Body ◽  
Anterior Neck ◽  
Head And Neck Region ◽  
Posterior Triangle ◽  
Common Location ◽  
Different Parts

<p class="abstract">Lipoma is a benign mesenchymal tumor with a thirteen percent incidence in head and neck region. Posterior triangle is the most common location while anterior neck lipoma is a rare one. Giant lipomas &gt;10 cm have been reported in different parts of the body but rarely in the anterior neck. Surgical excision remains the treatment of choice. We here report a case of giant anterior neck lipoma in a 50 year old male managed surgically.</p>

scholarly journals Asymptomatic nodule on face: Dermoscopic and histopathological clue for diagnosis

2020 ◽  
Vol 17 (1) ◽  
pp. 63-65
Author(s):  
Anisha Joshi ◽  
Deeptara Pathak Thapa
Keyword(s):  
Head And Neck ◽  
Peripheral Nerves ◽  
Neck Region ◽  
Surgical Excision ◽  
Benign Tumors ◽  
Complete Excision ◽  
Head And Neck Region ◽  
The Common ◽  
Slow Growing ◽  
Rare Diagnosis

Schwannomas/ neurilemmomas are benign tumors of nerve sheath arising from Schwann cells that form myelin sheath around peripheral nerves. They are usually solitary, slow growing and encapsulated lesions. Head and neck are the common sites. We report a case of a 38 years old Nepalese female who had presented with a solitary asymptomatic, slow growing nodule on the left side of the chin for the last three years. Dermoscopy of the lesion revealed arborizing vessels with brownish pigmentation overlying a whitish to pinkish background. Complete excision of the lesion was performed. Histopathological evaluation of the lesion revealed schwannoma. Though schwannomas are a rare diagnosis, they should be considered as a differential diagnosis of any unilateral, asymptomatic, slow growing nodule in the head and neck region. Dermoscopy is a useful tool which helps to differentiate schwannoma from other lesions. Histopathology is the gold standard for diagnosis and the treatment of choice is surgical excision.  

Transcatheter arterial embolisation for paediatric inflammatory pseudotumour of the maxillary sinus

2011 ◽  
Vol 125 (11) ◽  
pp. 1189-1192 ◽  
Author(s):  
A Murai ◽  
K Sugiu ◽  
S Kariya ◽  
K Nishizaki
Keyword(s):  
Head And Neck ◽  
Maxillary Sinus ◽  
Late Onset ◽  
Neck Region ◽  
Surgical Excision ◽  
Corticosteroid Treatment ◽  
Treatment Modalities ◽  
Inflammatory Pseudotumour ◽  
Transcatheter Arterial Embolisation ◽  
Arterial Embolisation

AbstractBackground:Inflammatory pseudotumours are mostly seen in the lung, and occasionally in the head and neck region including the sinonasal area. Reported treatment modalities comprise corticosteroid treatment, surgical excision and radiotherapy. The latter option is required because wide surgical resection may be difficult for head and neck lesions, especially in children. However, clinicians should be aware of the risk of late-onset side effects of radiotherapy in children.Case report:We present a two-year-old girl with a massive inflammatory pseudotumour of the maxillary sinus. Transcatheter arterial embolisation was performed, and the lesion was successfully managed without additional therapy. There was no evidence of recurrence over the next five years.Conclusion:This is the first report presenting the utility of arterial embolisation for inflammatory pseudotumour.

scholarly journals Pediatric Synovial Sarcoma in the Retropharyngeal Space: A Rare and Unusual Presentation

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Sanjay Vaid ◽  
Neelam Vaid ◽  
Sanjay Desai ◽  
Varada Vaze
Keyword(s):  
Head And Neck ◽  
Synovial Sarcoma ◽  
Pediatric Population ◽  
Neck Region ◽  
Retropharyngeal Space ◽  
Imaging Findings ◽  
Head And Neck Region ◽  
English Medical Literature ◽  
Synovial Sarcomas ◽  
First Time

Synovial sarcomas in the head and neck are extremely rare tumors, especially in the pediatric population. 3–5% of synovial sarcomas occur in the head and neck region displaying varied imaging and histopathological features resulting in frequent misdiagnosis. These tumors have a poor prognosis; hence early diagnosis and accurate classification based on imaging, histopathology, and immunohistochemistry are critical for prompt treatment. To the best of our knowledge, imaging findings of pediatric retropharyngeal lipomatous synovial sarcoma have not been reported to date in English medical literature. We report, for the first time, a rare case of retropharyngeal lipomatous synovial sarcoma in a ten-year-old child and discuss the case-specific imaging findings in our patient using magnetic resonance imaging and computed tomography.

Keratoacanthoma of the Head and Neck

1980 ◽  
Vol 89 (1) ◽  
pp. 72-74 ◽  
Author(s):  
Richard E. Goodwin ◽  
George H. Fisher
Keyword(s):  
Squamous Cell Carcinoma ◽  
Cell Carcinoma ◽  
Head And Neck ◽  
Squamous Cell ◽  
Surgical Excision ◽  
Clinical Entity ◽  
Diagnosis And Management ◽  
Difficult Diagnosis ◽  
Disease Spectrum ◽  
Complete Surgical Excision

Four representative cases of keratoacanthoma of the head and neck are presented; one of which contained squamous cell carcinoma at its base. Although keratoacanthoma has become recognized as a distinct clinical entity, its similarities to squamous cell carcinoma frequently result in difficult diagnosis. A discussion of the disease spectrum, diagnosis and management is presented. Prompt and complete surgical excision of head and neck keratoacanthoma is recommended.

Alveolar Soft Part Sarcoma of the Head and Neck Region

1998 ◽  
Vol 107 (9) ◽  
pp. 810-814 ◽  
Author(s):  
Brian C. Hunter ◽  
Alfio Ferlito ◽  
Kenneth O. Devaney ◽  
Alessandra Rinaldo
Keyword(s):  
Head And Neck ◽  
Soft Part ◽  
Neck Region ◽  
Surgical Excision ◽  
Alveolar Soft Part Sarcoma ◽  
Malignant Neoplasms ◽  
Head And Neck Region ◽  
Neck Area ◽  
Over Time ◽  
Sizable Number

Alveolar soft part sarcoma is a soft tissue malignancy most often found in the extremities of young adults; when these tumors arise in the head and neck area, they usually appear in the orbit or the tongue. Their initial behavior is relatively indolent, but over time a sizable number of these tumors recur locally and metastasize; as such, they are best regarded as fully malignant neoplasms. The derivation of these tumors remains uncertain: while some have suggested that these are tumors of muscle origin and others have postulated a neuroendocrine origin, the evidence accumulated to date is conflicting, and so these neoplasms continue to be regarded as tumors of uncertain origin. Surgical excision is the mainstay of therapy.

scholarly journals A Case Report of a Solitary Fibrous Tumor of the Maxillary Sinus

Reports ◽  
2021 ◽  
Vol 4 (4) ◽  
pp. 33
Author(s):  
Mattia Di Bartolomeo ◽  
Sara Negrello ◽  
Arrigo Pellacani ◽  
Anna Maria Cesinaro ◽  
Stefano Vallone ◽  
...  
Keyword(s):  
Case Report ◽  
Head And Neck ◽  
Maxillary Sinus ◽  
Solitary Fibrous Tumor ◽  
Malignant Neoplasm ◽  
Neck Region ◽  
Benign Neoplasm ◽  
Surgical Excision ◽  
Purulent Discharge ◽  
Fibrous Tumor

A solitary fibrous tumor (SFT) is a benign neoplasm, firstly described as a mesenchymal tumor of the pleura. Its incidence range in the head and neck region is about 5–27%, but only rarely does it affect paranasal sinuses. The differential diagnosis is challenging, owing to its erosive growth pattern and immuno-histochemical features. SFTs have an aggressive behavior and an important recurrence potential. Therefore, a radical surgical excision is the gold standard therapeutic procedure. A rare SFT originating from the right maxillary sinus is reported here. The 37-year-old patient presented to the outpatient clinic with a painful expansive lesion in the whole right maxillary region. The overlying skin was inflamed and the patient had no epistaxis episodes. The 1.5 dentary element tested negative for vitality; however, a puncture of the lesion led to a hematic spill and no purulent discharge. An endoscopic-guided biopsy was suggestive either of SFT or hemangioperictoma, excluding a malignant neoplasm. A multi-equipe surgical team was activated. The lesion was embolized in order to achieve a good hemostatic control and, after 48 h, the neoplasm was radically excised with a combined open and endoscopic approach. The patient was disease-free at 12-month radiological and clinical follow-up. Given the rarity of this lesion and the delicacy required in addressing head and neck neoplasms, we believe that the present case report might be of help in further understanding how to approach cranio-facial SFTs.

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