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 ◽  
...  

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.

2021 ◽  
pp. 014556132110019
Author(s):  
Christina M. Yver ◽  
Michael A. Husson ◽  
Oren Friedman

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.


2000 ◽  
Vol 114 (5) ◽  
pp. 381-384 ◽  
Author(s):  
George A. Velegrakis ◽  
John G. Panayiotides ◽  
Charalambos E. Skoulakis ◽  
Chariton E. Papadakis ◽  
Dimitrios G. Papadakis ◽  
...  

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.


2000 ◽  
Vol 86 (1) ◽  
pp. 88-90 ◽  
Author(s):  
Fátima Navarro ◽  
Javier Vicente ◽  
Maria José Villanueva ◽  
Antonio Sánchez ◽  
Mariano Provencio ◽  
...  

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

2020 ◽  
pp. 3-5
Author(s):  
Ayesha Goel ◽  
Ritu Nigam

Myiasis in head and neck region is a rare occurrence and is usually found in tropical countries like India. Poor hygiene, unsanitary living conditions, mental retardation, neglected wounds, diabetes mellitus and old age along with a warm and humid climate lay down a conducive environment for the larva of dipterous fly to infest humans. Maggots due to their tissue destructive properties can affect many regions in otolaryngorhinology like nasal cavity, ears, oral cavity, tracheostomy site ostoma, PNS, the skin and ulcerative lesions of head and neck. The burden of the disease lies in the fact that the complications range from minor tissue destruction, perforation of either the tympanic membrane, palate or septum, vertigo, angioedema to severe neurological manifestations, intracranial extension or rarely even death. Objective: To assess the commonly affected age group and gender infested by myiasis, it’s seasonal trend, socioeconomic status of the affected patients and the relationship of myiasis infestation with various predisposing factors. Methodology: Retrograde study was conducted on 95 patients of department of otorhinolaryngology. The study was done from January 2015 to October 2018 by collecting data of 3 years 10 months time interval and results tabulated. Ethical clearance was sort and patients consent obtained. Result: The most commonly affected age group was found to be elderly, in the 7th decade of life (56.84%). Females were more commonly affected than males consisting of 55 out of 95 cases (57.89%), with a male female ratio of 1:1.4. Majority of cases presented in the months of October-January, with a peak in November (32/95). Nasal myiasis was found to be more common (69 cases) in comparison to aural and oral cavity myiasis. The most common predisposing factor was found to be Atrophic Rhinitis in 66.7% cases. Conclusion : With awareness and improved personal hygiene a devastating disease like myiasis is easily preventable and curable.


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

2020 ◽  
pp. 014556132091204
Author(s):  
J. Alexander de Ru ◽  
Hans G. X. M. Thomeer ◽  
Bernard M. Tijink ◽  
Tristan P. C. van Doormaal

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.


2013 ◽  
Vol 4 ◽  
pp. S155
Author(s):  
K. Natori ◽  
D. Nagase ◽  
S. Ishihara ◽  
A. Shibuya ◽  
Y. Toyoda ◽  
...  

2008 ◽  
Vol 123 (2) ◽  
pp. 245-247 ◽  
Author(s):  
L R Marshall ◽  
R J Salib ◽  
T E Mitchell ◽  
I Moore

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.


1994 ◽  
Vol 103 (7) ◽  
pp. 578-582 ◽  
Author(s):  
John G. Batsakis ◽  
Adel K. El-Naggar

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.


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