scholarly journals Pathology Clinic: Nodular Fasciitis Involving the External Ear

2021 ◽  
pp. 014556132110019
Author(s):  
Christina M. Yver ◽  
Michael A. Husson ◽  
Oren Friedman
Keyword(s):  
Head And Neck ◽  
Benign Lesion ◽  
Accurate Diagnosis ◽  
Nodular Fasciitis ◽  
External Ear ◽  
Unique Challenge ◽  
Neck Area

Nodular fasciitis is a rare, benign lesion characterized by the pseudosarcomatous proliferation of fibroblasts and myofibroblasts. Accurate diagnosis presents a unique challenge for otolaryngologists, as nodular fasciitis frequently mimics malignancy clinically; however, it can be distinguished from malignancy by subtle findings on pathology. A diagnosis of nodular fasciitis should be considered for any irregular or rapidly growing lesion of the head and neck area, as accurate diagnosis is particularly important to avoid overtreatment in cosmetically sensitive regions.

scholarly journals Actinomycotic Abscess of Thyroid Gland in a 3-Year-Old Child

2021 ◽  
Vol 9 ◽  
pp. 232470962110519
Author(s):  
Barbora Pitekova ◽  
Robert Kralik ◽  
Samuel Kunzo ◽  
Jaroslav Bojnansky ◽  
Ludmila Podracka
Keyword(s):  
Clinical Practice ◽  
Thyroid Gland ◽  
Head And Neck ◽  
Pediatric Patient ◽  
Clinical Case ◽  
Clinical Signs ◽  
Accurate Diagnosis ◽  
Pathological Conditions ◽  
Neck Area ◽  
Diagnostic Delays

Actinomycosis is an atypical cause of infection in the head and neck area, especially in children. A rare incidence of actinomycosis, its nonspecific clinical signs that mimic other pathological conditions, as well as a complicated identification of microorganism lead to diagnostic delays in clinical practice. Besides an accurate diagnosis, it is of an utmost importance to pinpoint relevant predisposing factors, which might result in the infection. We present a clinical case of actinomycotic infection of the thyroid gland in the pediatric patient at our department.

Juvenile Fibromatosis

1979 ◽  
Vol 88 (3) ◽  
pp. 324-326 ◽  
Author(s):  
Wilfred T. Morioka ◽  
Victor C. Heath ◽  
Robert W. Cantrell
Keyword(s):  
Radiation Therapy ◽  
Head And Neck ◽  
Steroid Therapy ◽  
Adjunctive Therapy ◽  
Benign Lesion ◽  
Surgical Excision ◽  
Wide Surgical Excision ◽  
Neck Area ◽  
Juvenile Fibromatosis

Juvenile fibromatosis is a benign lesion with locally aggressive characteristics. Wide surgical excision is the treatment of choice. Radiation therapy can be used for inoperable cases or as adjunctive therapy. Steroid therapy has not been used extensively and deserves further evaluation. In the head and neck area, juvenile fibromatosis must be very carefully diagnosed and treated due to the serious consequences that result from inadequate control.

A Novel COL1A1-CAMTA1 Rearrangement in Cranial Fasciitis

2020 ◽  
Vol 28 (6) ◽  
pp. 678-682
Author(s):  
Judith Jebastin Thangaiah ◽  
Jasmine Vickery ◽  
Wasim Selwanes ◽  
Eman Al-Haddad ◽  
Kyle D. Perry ◽  
...  
Keyword(s):  
Head And Neck ◽  
Intracranial Extension ◽  
Nodular Fasciitis ◽  
Histopathologic Examination ◽  
Solitary Nodule ◽  
Cranial Fasciitis ◽  
Neck Area

Cranial fasciitis is an uncommon benign fibroblastic tumor, generally histologically identical to nodular fasciitis. It develops almost exclusively in children. Cranial fasciitis manifests clinically as a painless rapidly growing solitary nodule in the head and neck area, frequently eroding the underlying bone. Thus, this entity is often confused with aggressive lesions such as sarcomas, both clinically and radiologically. Histopathologic examination is essential to differentiate between cranial fasciitis and fibrohistiocytic or even sarcomatous lesions observed in children. In this article, we present a case of cranial fasciitis with intracranial extension in a 2-year-old boy. Although USP6 rearrangement has recently been recognized as a recurring alteration in nodular fasciitis, we present a novel COL1A1-CAMTA1 fusion in this lesion.

Wegener's Granulomatosis of the Head and Neck

1998 ◽  
Vol 107 (5) ◽  
pp. 439-445 ◽  
Author(s):  
Kenneth O. Devaney ◽  
Alfio Ferlito ◽  
Stephanie L. Devaney ◽  
Brian C. Hunter ◽  
Alessandra Rinaldo
Keyword(s):  
Head And Neck ◽  
Wegener’S Granulomatosis ◽  
Immunosuppressive Agents ◽  
Granulomatous Inflammation ◽  
Wegener's Granulomatosis ◽  
Pathologic Finding ◽  
External Ear ◽  
Appropriate Treatment ◽  
Neck Area ◽  
Sinus Mucosa

Among the more puzzling non-neoplastic necrotizing lesions of the head and neck area is Wegener's granulomatosis. This is a condition of unknown cause that may present (in the head and neck area) with ulceration of the nasal septum, sinus mucosa, oral mucosa, or external ear canal, or even destruction of the vocal cord. Diagnosis depends on the pathologic finding of a characteristic inflammatory reaction pattern (which, in its best-developed form, includes necrosis, granulomatous inflammation, and vasculitis) and the serum finding of an elevated antinuclear cytoplasmic antigen. Treatment is principally medical, with the use of powerful immunosuppressive agents. Distinction from other conditions that may mimic Wegener's granulomatosis (such as malignant lymphoma and infections) is of critical importance in constructing an appropriate treatment strategy.

Angiosarcoma of the maxillary sinus

2000 ◽  
Vol 114 (5) ◽  
pp. 381-384 ◽  
Author(s):  
George A. Velegrakis ◽  
John G. Panayiotides ◽  
Charalambos E. Skoulakis ◽  
Chariton E. Papadakis ◽  
Dimitrios G. Papadakis ◽  
...  
Keyword(s):  
Endothelial Cells ◽  
Head And Neck ◽  
Maxillary Sinus ◽  
Paranasal Sinuses ◽  
Vascular Endothelial Cells ◽  
External Irradiation ◽  
Malignant Neoplasms ◽  
Vascular Endothelial ◽  
Neck Area ◽  
Medial Maxillectomy

Angiosarcomas are rapidly growing malignant neoplasms arising from the vascular endothelial cells. Most common sites are the extremities and the retroperitoneal space, with only four per cent of angiosarcomas arising in the head and neck area, whilst the paranasal sinuses are one of the rarest locations. We report the case of a maxillary sinus angiosarcoma in a 72-year-old male patient. The first biopsy was inconclusive, whereas the second revealed an angiosarcoma. Medial maxillectomy was performed with subsequent external irradiation.

Metastatic Renal Cell Carcinoma to the Head and Neck Area

2000 ◽  
Vol 86 (1) ◽  
pp. 88-90 ◽  
Author(s):  
Fátima Navarro ◽  
Javier Vicente ◽  
Maria José Villanueva ◽  
Antonio Sánchez ◽  
Mariano Provencio ◽  
...  
Keyword(s):  
Renal Cell Carcinoma ◽  
Cell Carcinoma ◽  
Head And Neck ◽  
Metastatic Renal Cell Carcinoma ◽  
Renal Cell ◽  
Neck Area

Pediatric Nodular Fasciitis in the Head and Neck

2015 ◽  
Vol 141 (1) ◽  
pp. 54 ◽  
Author(s):  
Anne Hseu ◽  
Karen Watters ◽  
Antonio Perez-Atayde ◽  
V. Michelle Silvera ◽  
Reza Rahbar
Keyword(s):  
Head And Neck ◽  
Nodular Fasciitis

Rare cancers of the head and neck area in Europe

2012 ◽  
Vol 48 (6) ◽  
pp. 783-796 ◽  
Author(s):  
B.A.C. Van Dijk ◽  
G. Gatta ◽  
R. Capocaccia ◽  
D. Pierannunzio ◽  
P. Strojan ◽  
...  
Keyword(s):  
Head And Neck ◽  
Rare Cancers ◽  
Neck Area

scholarly journals Neurocap Use for the Treatment of Iatrogenic Neuropathic Pain: Preliminary Operative Results in 3 Patients

2020 ◽  
pp. 014556132091204
Author(s):  
J. Alexander de Ru ◽  
Hans G. X. M. Thomeer ◽  
Bernard M. Tijink ◽  
Tristan P. C. van Doormaal
Keyword(s):  
Neuropathic Pain ◽  
Head And Neck ◽  
Marked Reduction ◽  
Nerve Stump ◽  
Operative Results ◽  
Traumatic Neuroma ◽  
Pain Scores ◽  
Neck Area ◽  
Viable Treatment

Painful neuromas are a devastating condition that is notoriously difficult to treat. The large number of techniques that have been attempted suggest that no one technique is superior. Neuromas often occur in the extremities, but iatrogenically caused pain in the head and neck area has also been described. This article describes 3 consecutive patients diagnosed with traumatic neuroma who underwent transection of the causative nerve, followed by capping of the nerve stump with a Neurocap. With a follow-up of 7 to 24 months, our results show a marked reduction in the pain scores of all 3 patients. The preliminary results indicate that this technique might be a viable treatment option for patients with a suspected neuroma in the head and neck area.

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.

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