scholarly journals Benign fibrous histiocytoma of the tongue: a case report

2017 ◽  
Vol 20 (2) ◽  
pp. 152
Author(s):  
Michele Fonseca Brantes ◽  
Rebeca Souza Azevedo ◽  
Silvia Paula Oliveira ◽  
Adriele Ferreira Gouvêa ◽  
Ademar Takahama Jr

<p>The fibrous histiocytoma is a soft tissue neoplasm that affects the dermis and the subcutaneous tissue, rarely is found in the oral cavity and perioral regions, and is originated from the proliferation of fibroblasts and histiocytes. The objective of this paper is to report a case of Benign Fibrous Histiocytoma in a 30-year-old male patient, complaining of a painless nodule in the tongue for about six months. With the clinical diagnostic hypotheses of Fibrous Hyperplasia or Traumatic Neuroma an excisional biopsy was performed. The histopathological examination revealed a non-encapsulated proliferation of spindle cells with some giant multinucleated cells in the periphery of the lesion.  Immunohistochemical reactions were performed, staining only for vimentin in the spindle cells and for CD68 in the multinucleated giant cells. According to these characteristics, the final diagnosis was Benign Fibrous Histiocytoma. The correct diagnosis of spindle shaped cell neoplasia must be performed with the aid of histopathological analysis and immunohistochemistry, mainly because the morphological similarities with other benign and malignant lesions. </p>

2007 ◽  
Vol 31 (2) ◽  
pp. 136-138 ◽  
Author(s):  
Nur Mollaoglu ◽  
Benay Tokman ◽  
Sevil Kahraman ◽  
Sedat Cetiner ◽  
Sule Yucetas ◽  
...  

A 13-year-old boy who complained rapid swelling on the left side of mandible is presented. Histopathological examination revealed ossifying fibromyxoid tumor (OFMT). OFMT is a rare soft-tissue neoplasm that occurs usually in the subcutaneous tissue of the extremities. Head and neck involvement is relatively rare. In this case, we present the diagnosis, surgical treatment and long-term follow-up of an OFMT due to its unusual site of occurrence. The precise clinical behavior of atypical and malignant types of OFMTs is still unclear. Thus, histopathology report is important, leading surgeon to decide how often and how long to follow-up patient with OFMT.


2020 ◽  
Vol 10 (1) ◽  
pp. 1654-1658
Author(s):  
Pramila Vaidhya ◽  
Ram Chandra Adhikari ◽  
Anil Dev Pant

Background: Tumours and tumour like lesions of the colon and rectum have overlapping clinical presentation and may be difficult to diagnose on clinical grounds alone. Histopathological examination although helpful to arrive at correct diagnosis, at times may be difficult and may require ancillary tests such as immunohistochemistry. Materials and Methods: A prospective cross sectional study enrolled 125 cases of colorectal biopsies after histopathological confirmation of tumours and tumour like lesions. The specimens were received at the Department of Pathology, of TUTH, from December 1, 2015 to November 30, 2016. Results: Out of 125 cases, 32 cases were benign tumours, 36 cases were malignant tumours and 57 cases were tumour like lesions. Most common age range was 51-60 years with mean age of 38 years. Males comprised 76.74% and females 23.26% with ratio of 3:1. Juvenile polyp was the commonest lesion. Among benign tumours, tubular adenoma was the most common (19.2%), adenocarcinoma was most common malignant tumour (25.6%) and juvenile polyp was the most common tumour like lesion (27.2%). Left side was most common side (66.67%) and rectum was the most common site (48.8%). Conclusions: The commonest indications for colorectal biopsies were tumours and tumour like lesions. Juvenile polyp was the most common tumour like lesion, tubular adenoma was the most common benign tumour and adenocarcinoma was the most common malignant tumour. Histopathological examination is a gold standard for confirmation of all tumour and tumours like lesions of colon and rectum.


2020 ◽  
Vol 48 ◽  
Author(s):  
Valesca Ferreira Machado de Souza ◽  
Zayan Silva Pereira ◽  
Ianei De Oliveira Carneiro ◽  
Deusdete Conceição Gomes Júnior ◽  
Maria Talita Soares Frade ◽  
...  

Background: Trichoblastoma is a rare skin neoplasm derived from the primitive hair follicle, having epithelial and mesenchymal components. Despite being commonly described as a benign tumor, there are reports in the literature of tumors with characteristics of malignant neoplasia. It affects adult dogs and cats, with no predilection for sex. Although rare, in studies in Brazil the pathology shows variable rates of occurrence. This work describes a case of tricoblastoma in a 4-year-old mixed breed dog, submitted to care at the Veterinary Hospital of the Federal University of Western Bahia (HVU-UFOB).Case: A 4-year-old male mixed breed dog with 7 kg of body weight, was referred to the HVU-UFOB. The main complaint reported by the canine’s tutor was an increase in volume in the region of the animal's face, which evolved slowly, associated with itching, bleeding and sensitivity to touch. During the physical examination, a round, elevated mass was observed in the subcutaneous tissue of the left face, in the mandible region, with local alopecia. On palpation, the neoformation showed a firm consistency, well-defined and fluctuating, with no solutions for continuity or discomfort to touch. The animal's physiological parameters were within the normal for the species. CBC, chest X-rays, abdominal ultrasound and aspiration cytology of the mass were requested. The blood count and image tests did not reveal any changes. On cytological examination, small, grouped basal epithelial cells were observed, characterized by a high nucleus-cytoplasm ratio, monomorphic nuclei and intensely basophilic and pigmented cytoplasm, a suggestive diagnosis of basal cell tumor. Due to the findings, an excisional biopsy of the mass was performed, with margins of 2 cm. The mass with its margins was sent for histopathological examination at the Animal Pathology Laboratory of the HVU. Macroscopically, an expansive mass was observed, covered by skin, was well defined, not encapsulated, distending the dermis, with a dome shape, measuring 8.0 x 5.0 x 4.0 cm in length, white and firm to the cut, with discrete lobulation. Microscopically, there was a proliferation of small cuboidal to elongated cells with a round to oval nucleus of loose chromatin and little evident nucleolus, and of a pale, scarce eosinophilic cytoplasm. Neoplastic cells were sometimes arranged in strings, palisades (ribbon type) or islands and were sometimes seen centrally aggregated emitting strands of cells (medusoid type) separated by moderate fibrovascular stroma, compatible with trichoblastoma. Tissue healing occurred satisfactorily, and the stitches were removed 10 days after the surgical procedure.Discussion: The clinical analysis of the case associated with the cytological and histopathological examination of the lesion allowed the visualization of physical and cellular changes, confirming the diagnosis of trichoblastoma. The animal involved was 4-years-old, within the chronological variability most affected by the tumor. The macroscopic lesions and the location of the neoplasia were also similar to those described in the literature. However, their race (mixed breed) was different from the most evident. Treatment based on total surgical excision of the neoplasia proved to be effective. This work is the first reported in the Western of Bahia describing a case of trichoblastoma in a dog.


2021 ◽  
Vol 9 (3) ◽  
pp. 339-344
Author(s):  
Hicham Abdellaoui ◽  
Mohammed Tazi Charqui ◽  
Fatoumata Binta Balde ◽  
Karima Atarraf ◽  
Afifi My Abderrahmane

BACKGROUND: Benign fibrous histiocytoma is known to be a frequent skin tumor but its occurrence in bone remains very rare especially in pediatric population. This entity is a subject of interest also because histologically it can mimic other fibrohistiocytic lesions of bone such as non-ossifying fibroma. CLINICAL CASE: An 11-year-old patient admitted with swelling of the right thigh and intermittent pain. Radiological evaluation shows cystic lesion of the femur with a soap-bubble and a border of condensation. Histopathological examination of the biopsy sample established the diagnosis of benign fibrous histiocytoma. The patient underwent complete curettage of the lesion with bone graft. There is no recurrence 16 months after surgery. DISCUSSION: Benign fibrous histiocytoma is a rare bone tumor especially in children. Histologically it can mimic non-ossifying fibroma. Thus clinical and radiological features are important to differentiate these tumors in order to choose adequate treatment. CONCLUSIONS: Benign fibrous histiocytoma is probably underestimated in pediatric population. This diagnosis should be considered in any child or teenager who presents with a non-ossifying fibroma accompanied by unexplainable pain or a rapid growing.


2021 ◽  
Vol 55 (8) ◽  
Author(s):  
Annete Nabila ◽  
Ni Putu Mira Sumarta ◽  
Okky Prasetio

Angiofibromas are highly vascular, locally aggressive but histologically benign tumors. A 40-year-old woman complaint of pedunculated mass in the right gingiva of the posterior region since 7 months earlier. Surgical excisional biopsy under general anesthesia was performed. Histopathological examination showed an angiofibroma. Angiofibromas are localized in the superficial soft tissue and the gingiva could have a similar clinical appearance as an epulis. Definitive diagnosis was determined through histopathological analysis.


2019 ◽  
Vol 35 (2) ◽  
pp. 347-349
Author(s):  
Raj Amarnani ◽  
Athur Harikrishnan

Abstract Background To our knowledge, we report the first case of an aneurysmal benign fibrous histiocytoma occurring in the anal canal. Methods Clinical, histological, radiological and surgical data pertaining to this patient were analysed. Additionally, a literature review on aneurysmal benign fibrous histiocytoma was conducted. Results We describe a 48-year-old Caucasian male presenting with a 2-week history of a painful anus, fresh rectal bleeding and tenesmus. Digital rectal examination identified a tender firm mass in the anal verge. Magnetic resonance imaging revealed high signal in the anal canal. Flexible sigmoidoscopy revealed an ulcerated 3-cm indurated lesion at the four o’clock position. Biopsies taken of the mass confirmed the diagnosis of an aneurysmal benign fibrous histiocytoma (BFH). Following a discussion in the colorectal multi-disciplinary team, the patient was counselled for an excision of the lesion. Diathermy dissection was performed to completely excise the tumour with a margin involving the fibres of the anal sphincter. The patient made a full recovery and had no residual symptoms. Histology of the excised specimen confirmed clear margins of the BFH. Conclusions This paper aims to highlight a rare differential diagnosis for an anal mass. An aneurysmal BFH most often presents as a painless mass within the dermis and subcutaneous tissue. As such, this case presents a diagnostic challenge to both colorectal surgeon and histopathologist due to its low incidence and unusual location. We further present the clinical and radiographic evidence to confirm the diagnosis. Additionally, we discuss the literature pertaining to this condition and its optimal management.


2020 ◽  
Vol 7 (8) ◽  
pp. 2573
Author(s):  
Sreejith Kannummal Veetil ◽  
Binni Sharma

Background: The analysis of lymph node enlargement in the neck is not an easy task. These diseases which can be neoplastic also demands correct diagnosis for further management. The study intended to find out systematically the various pathological conditions presenting with enlarged lymph nodes in the neck, also the various modes of clinical presentation and behaviour of these conditions.Methods: The study population consisted of patients above 12 years presenting with cervical lymph node enlargement. The proforma which was drafted is used. Patient was examined systematically giving utmost importance to local examination. After making a clinical diagnosis, further relevant investigations were done to confirm the diagnosis. Treatment was instituted appropriately and followed up the patients.Results: Majority of the cases in this study had non-neoplastic causes for cervical lymphadenopathy in which tuberculosis is most common. Posterior triangle group of lymph nodes was most commonly affected in tuberculosis. Variable results were noted among the groups of lesions, with regard to local characteristics like number, laterality, mobility and involvement of other group of lymph nodes, etc. FNAC by virtue of it being inexpensive, quick in getting the results and easy to perform, is one of the important and essential diagnostic procedures.Conclusions: As cervical lymphadenopathy is an important disease, it always calls for meticulous attention, analysis and treatment. FNAC is found to be a frontline investigation of choice with biopsy and histopathological examination done for confirmation. Most of the non-neoplastic lesions are medically curable with limited role for surgery.


Author(s):  
Manish Munjal ◽  
Archana Arora ◽  
Gopika Talwar ◽  
Neena Sood

<p>Poroma refers to benign adnexal neoplasm derived from the terminal portion of the duct of sweat gland. About two-thirds are seen in middle aged and the elderly. The plantar surface or sides of feet followed by hands and fingers, and rarely the face or neck are the sites of predilection. This study included case report of 36 year old male presented with a lower midline neck swelling, insidious in onset and gradually progressive. On examination: swelling was about 2×2 cm, doughy in consistency, non-tender and freely mobile over the underlying muscles. Ultrasonography neck showed a hyperintense adnexal soft tissue with no fixity to the underlying structures. Surgical intervention via an elliptical incision was undertaken. Skin and subcutaneous tissue separated and underlying swelling identified to be attaching superficially. It was removed in toto and base was cauterized and transfixed. Postoperative period was uneventful. No recurrence recorded till 6 months. Histopathological examination was consistent with benign adnexal tumor eccrine poroma. Meticulous evaluation of the individual presenting with poroma is undertaken to reach the correct diagnosis. Existing literature suggests the treatment of eccrine and apocrine poromas consists of simple excision. If the lesion recurs after excision or presents with ulceration, bleeding, pain, or accelerated growth, a suspicion of eccrine “porocarcinoma” should be considered and the lesion investigated accordingly. </p>


2019 ◽  
Vol 4 (4) ◽  
pp. 01-02
Author(s):  
Elharrouni Alaoui Aicha ◽  
Dahhouki S ◽  
Douhi Z ◽  
Elloudi S ◽  
Baybay H ◽  
...  

Benign fibrous histiocytoma is one of the most frequent benign neoplasms ,the diagnosis of cutaneous benign fibrous histiocytoma is generally easy ,however the atypical fibrous histiocytoma is an uncommon, poorly documented variant of cutaneous fibrous histiocytoma,may be difficult to identify, and the diagnosis only confirmed after exhaustive histopathological examination. Recently the dermoscopy has revealed a new dimension of dermoscopic features giant Fibrous Histiocytoma . Our purpose was to report the clinical and dermoscopic characteristics of giant Fibrous Histiocytoma and review the few cases of this variant of Fibrous Histiocytoma reported in the literature.


2019 ◽  
Vol 12 (1) ◽  
pp. e226764 ◽  
Author(s):  
Prasanna Kumar Saravanam ◽  
Vinoth Manimaran ◽  
Rashmika Rajendran

Clear cell variant is a rare histological type of myoepithelioma seen in parotid and soft palate. This article describes clear cell variant of myoepithelioma in the tongue base, which has not been reported in the literature so far. A 34-year-old man presented with dysphagia and foreign body sensation of throat. Video laryngostroboscopy using a 70° rigid telescope showed a smooth globular mass in the oropharynx arising from the tongue base. Based on clinical and radiological findings, the lesion was considered as benign. Fine needle aspiration cytology was not attempted fearing risk of bleeding, aspiration and airway compromise. Hence, an excisional biopsy followed by definitive histopathological examination without frozen section was planned. The patient underwent coblator-assisted excision and subsequently sent for histopathological analysis. There were cuboidal cell nests with abundant clear cytoplasm which stained positive for p63 by immunohistochemistry. This helped in establishing the diagnosis of clear cell myoepithelioma.


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