Pseudosarcomatous Proliferative Lesions of Soft Tissues

1994 ◽  
Vol 103 (7) ◽  
pp. 578-582 ◽  
Author(s):  
John G. Batsakis ◽  
Adel K. El-Naggar
Keyword(s):  
Soft Tissues ◽  
Surgical Excision ◽  
Nodular Fasciitis ◽  
Cranial Fasciitis ◽  
Intravascular Fasciitis ◽  
Tissue Sparing ◽  
Proliferative Fasciitis ◽  
Proliferative Myositis

The pseudosarcomatous proliferative lesions of soft tissues are fascia-based fibroblastic and myofibroblastic lesions that have the potential to be overdiagnosed as sarcomas. They may be subtyped according to depth of involvement, age at presentation, and certain histologic features. Subtypes are proliferative fasciitis, proliferative myositis, nodular fasciitis, intravascular fasciitis, and cranial fasciitis. They are presumed to be reactive. Recurrences are rare after tissue-sparing surgical excision.

Cranial fasciitis: presentation as a post-auricular mass

1995 ◽  
Vol 109 (3) ◽  
pp. 255-257 ◽  
Author(s):  
Khalid Iqbal ◽  
Ghulam Saqulain ◽  
I. H. Udaipurwala ◽  
Junaid Ashraf ◽  
Farrukh Aijaz ◽  
...  
Keyword(s):  
Rare Variant ◽  
Surgical Excision ◽  
Accurate Diagnosis ◽  
Nodular Fasciitis ◽  
Benign Condition ◽  
Young Males ◽  
Cranial Fasciitis ◽  
Rapid Pace ◽  
Skull Bones

AbstractCranial fasciitis is a rare variant of nodular fasciitis. It is a benign condition with features resembling sarcoma, seen principally in young males. It involves the skull bones and grows at a rapid pace. Accurate diagnosis and surgical excision is the key to management. Prognosis is good with recurrence rare. By 1992, 17 cases had been reported in the literature. The present case is the first reported in pakinstan.It presented as post auricular mass.

Flow cytometric study of nodular fasciitis, proliferative fasciitis, and proliferative myositis☆

1991 ◽  
Vol 22 (11) ◽  
pp. 1146-1149 ◽  
Author(s):  
Joseph N. El-Jabbour ◽  
George D. Wilson ◽  
Michael H. Bennett ◽  
Margaret M. Burke ◽  
Alan T. Davey ◽  
...  
Keyword(s):  
Nodular Fasciitis ◽  
Flow Cytometric ◽  
Flow Cytometric Study ◽  
Proliferative Fasciitis ◽  
Proliferative Myositis

scholarly journals Groin Flap for Salvage of Upper Extremity Following Necrotizing Fasciitis: A Case Report

2005 ◽  
Vol 13 (3) ◽  
pp. 153-155
Author(s):  
Chenicheri Balakrishnan ◽  
Venkata S Erella ◽  
Shawn Vandemark ◽  
Jason Mussman
Keyword(s):  
Upper Extremity ◽  
Soft Tissues ◽  
Skin Grafting ◽  
Surgical Excision ◽  
Soft Tissue Infections ◽  
Significant Morbidity ◽  
Groin Flap ◽  
Necrotizing Soft Tissue Infections ◽  
Extensive Debridement ◽  
The Common

Necrotizing soft tissue infections are often associated with significant morbidity and mortality Early surgical excision along with antibiotic therapy is the cornerstone of management. Salvage of these extremities is often difficult due to loss of soft tissues, tendons, nerves and blood vessels. Skin grafting of the granulating wound is the common method of closure in these patients. Use of various flaps has improved reconstructive options in these extremities. A case of salvage of upper extremity using a groin flap following extensive debridement is reported.

scholarly journals Cavernous Hemangioma of the Tongue

2015 ◽  
Vol 6 (3) ◽  
pp. 109-111 ◽  
Author(s):  
Jatin P Shah ◽  
Ivana Petrovic ◽  
Ben Roman
Keyword(s):  
Cavernous Hemangioma ◽  
Soft Tissues ◽  
Vascular Malformations ◽  
Surgical Excision ◽  
Vascular Anomalies ◽  
Preoperative Imaging ◽  
Vascular Tumors ◽  
Adult Onset ◽  
Complete Excision ◽  
Intramuscular Hemangioma

ABSTRACT Background Vascular anomalies are divided into vascular tumors, hemangiomas being the most common, and vascular malformations. Most vascular anomalies are noticed at birth or occur during infancy, and generally involve skin or subcutaneous soft tissues. Adult onset hemangiomas are rare, and intramuscular location is extremely rare. Surgical excision is recommended for hemangiomas in adults, if they are symptomatic, or manifest growth. Materials and methods We report a rare case of a 51-year-old woman, with an intramuscular hemangioma of the tongue, presenting as a submental mass. Preoperative imaging for assessment of tumor extent was followed by a successful surgical excision. Results Postoperative course was uneventful with primary healing of the wound, and with no functional deficit of tongue function. Conclusion Although a variety of treatment approaches are reported for childhood hemangiomas, surgical excision is the preferred treatment for adult onset symptomatic hemangiomas. Preoperative work up should include imaging preferably with contrast enhanced magnetic resonance imaging (MRI). Embolization may be considered for larger lesions. Intraoperative hypotension should be avoided to ensure identification of the entire lesion to ensure complete excision. How to cite this article Petrovic I, Roman B, Shah JP. Cavernous Hemangioma of the Tongue. Int J Head Neck Surg 2015;6(3):109-111.

scholarly journals PEComa of soft tissues can mimick lymph node relapse in patients with history of testicular seminoma

2013 ◽  
Vol 7 (9-10) ◽  
pp. 651 ◽  
Author(s):  
Gabriele Guglielmetti ◽  
Paolo De Angelis ◽  
Paolo Mondino ◽  
Carlo Terrone ◽  
Alessandro Volpe
Keyword(s):  
Lymph Node ◽  
Soft Tissue ◽  
Soft Tissues ◽  
Percutaneous Biopsy ◽  
Surgical Excision ◽  
Pelvic Lymphadenectomy ◽  
Adjuvant Radiation ◽  
Soft Tissue Neoplasm ◽  
Testicular Seminoma

Perivascular Epithelioid Cell tumour (PEComa) is rare. We describe a 39-year-old man who underwent a left radical orchidectomy and adjuvant radiation therapy for a stage IA classical testicular seminoma. He was diagnosed with a mass lateral to the right common iliac artery that was considered suspicious for late lymph node relapse after 3 years of follow-up. Due to the unusual location of the mass and the equivocal findings of percutaneous biopsy, a laparoscopic pelvic lymphadenectomy was performed. Final pathology revealed PEComa of soft tissue. The patient is disease free after 38 months of follow-up without adjuvant treatment. The presence of rare soft-tissue neoplasm should be considered in differential diagnosis of retroperitoneal masses during follow-up of germ cell tumours. Suspicious isolated recurrences of these neoplasms in unusual locations can require surgical excision to confirm diagnosis and avoid inappropriate treatment.

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.

A case of cranial fasciitis masquerading as acute mastoiditis

2008 ◽  
Vol 123 (2) ◽  
pp. 245-247 ◽  
Author(s):  
L R Marshall ◽  
R J Salib ◽  
T E Mitchell ◽  
I Moore
Keyword(s):  
Case Report ◽  
Rare Variant ◽  
World Literature ◽  
Definitive Diagnosis ◽  
Nodular Fasciitis ◽  
Acute Mastoiditis ◽  
Benign Condition ◽  
Subperiosteal Abscess ◽  
Cranial Fasciitis ◽  
Symptoms And Signs

AbstractObjective:We report a case of infection against a background of pre-existing cranial fasciitis.Method:Case report and review of world literature on cranial fasciitis.Results:Cranial fasciitis of childhood is a benign condition and a rare variant of nodular fasciitis. We present the case of a 10-week-old infant with symptoms and signs consistent with a subperiosteal abscess complicating acute mastoiditis. Subsequent findings showed this to be an infection against a background of pre-existing cranial fasciitis.Conclusion:To our knowledge, this is the first such reported case in the literature. Knowledge of the distinctive histopathological features, coupled with an awareness of the condition, are crucial to establishing a definitive diagnosis of cranial fasciitis and, in turn, to instituting appropriate management. The aetiopathogenesis of the condition remains unclear.

scholarly journals Synovial Sarcoma of the Head and Neck: A Single Institution Review

Sarcoma ◽  
2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Vancheswaran Gopalakrishnan ◽  
Behrang Amini ◽  
Michael J. Wagner ◽  
Erica N. Nowell ◽  
Alexander J. Lazar ◽  
...  
Keyword(s):  
Head And Neck ◽  
Tumor Size ◽  
Soft Tissues ◽  
Local Therapy ◽  
Retrospective Chart Review ◽  
Progression Free Survival ◽  
Surgical Excision ◽  
Distant Recurrence ◽  
Anatomical Location ◽  
Synovial Sarcomas

Background. The prognosis and clinical characteristics of head and neck synovial sarcomas (HNSS) are unclear. Herein, we present an update using a cohort of patients treated at our institution. Methods. We performed a retrospective chart review of 44 patients diagnosed with primary HNSS between March 1990 and June 2012. Overall survival (OS) and progression-free survival (PFS) curves were estimated and hazard ratios (HRs) were calculated. Results. The entire cohort’s median PFS was 4.6 years, and 20 of the 44 (45%) patients developed either local or distant recurrence. Tumor size ≥ 5 cm (p=0.008, HR = 4.69; 95% CI = 1.34–16.38) and a primary presentation in the soft tissues of the neck (p=0.04, HR = 2.41; 95% CI = 1.003–5.82) were associated with significantly worse PFS. The OS and PFS of patients who received definitive local therapy versus those who received additional adjuvant systemic therapy did not differ significantly. Conclusion. Despite the treatment challenges associated with HNSS, our cohort of patients had a better prognosis than one might expect in this unfavorable anatomical location. Our findings suggest that tumor size and site are predictive of PFS and that wide surgical excision is of vital importance, since traditional cytotoxic chemotherapy has limited efficacy at this site.

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