scholarly journals Cystic lymphangioma of breast and axillary region in an adult: a rare presentation

2020 ◽  
Vol 8 (1) ◽  
pp. 391
Author(s):  
Samir Shukla ◽  
Rahul Shivhare ◽  
Vikas Lal ◽  
Deepak Rathore

Cystic lymphangioma also known as cystic hygroma, is a congenital malformation of lymphatic system. Most lymphangioma are present at birth and are diagnosed by the age of 2 years. They are usually located in the head and neck region and are rare in other location. We are reporting a case of cystic lymphangioma in breast and axillary region in a 23 years old female. Physical examination revealed a non-tender cystic mass in axilla and upper outer quadrant of left breast. Ultrasonography (USG) revealed a hypoechoic mass lesion and magnetic resonance imaging (MRI) showed a multi-spectated cystic mass in left axilla closely involving the left breast parenchyma. Wide local excision was done and histopathological examination further confirmed the diagnosis of cystic lymphangioma. Although it is very rare, cystic lymphangioma should be considered in the differential diagnosis of mass in breast and axillary region.

Author(s):  
OJS Admin

Cystic hygroma or cystic lymphangioma is a rare d e v e l o p m e n t a l c o n g e n i t a l l y m p h a t i c malformation. It is most commonly related to thorax and neck region but it can also involve axilla, mediastinum, limbs and face. It is characterized by multiloculated cystic lesion of variable sizes. Ultrasound is very important in the diagnosis of prenatal cystic hygroma but it is also important in the characterization and differential diagnosis of cystic hygroma postnatally. In radiology department CT and MRI is done for the differentiation of cystic hygroma from other cystic lesions but due to the hazardous effects of these modalities it is important to give preference to ultr a s ound i n t h e di a g n o s i s o f c y s ti c lymphangioma. Some international studies are available on the cystic hygroma of the axillary region in infants but no local studies are published on the role of ultrasound in the diagnosis of cystic  hygroma in infants.


Author(s):  
Smita Singh ◽  
Jyoti Garg ◽  
Kusha Sharma ◽  
Kiran Agarwal

Intra-abdominal masses in children are usually malignant. Benign tumours at this location are not seen frequently. It is even rarer to find solitary myofibromas intra-abdominally as these tumours are known to have predilection for the head and neck region. We present an unusual case of solitary myofibroma with abdominal localisation in a six-year-old male child who presented with abdominal distension since six months. Computed Tomography (CT) abdomen revealed a complex solid-cystic mass extending from umbilicus to right iliac fossa and measuring 9×6×4 cm. Histopathological examination revealed a tumour displaying biphasic nodular pattern with the presence of lighter staining fascicles of mature myoid cells along with darker staining and more cellular areas of smaller primitive cells. On Immunohistochemistry (IHC), tumour cells were positive for vimentin and Smooth Muscle Actin (SMA) with variable reactivity for desmin while these were negative for CD34 and Anaplastic Lymphoma Kinase 1 (ALK). Based on the histopathological and immunohistochemical findings, final diagnosis of myofibroma was made. Recognition of these lesions is extremely challenging owing to their rare presentation intra-abdominally and also because of their close morphological overlap with other spindle cell tumours commonly found at this site. This case highlights the combined role played by histopathology and IHC in making a clear distinction between different entities. It is imperative for both clinicians and histopathologists to establish the correct diagnosis as excision of the solitary myofibroma is curative in most cases and offers better clinical course than the more commonly found malignant tumours at this site.


2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
Hind K. Alshammari ◽  
Haya F. Alzamami ◽  
Mona Ashoor ◽  
Wasan F. Almarzouq ◽  
Haitham Kussaibi

Inflammatory myofibroblastic tumor (IMT) is a benign lesion that occurs most frequently in the soft tissues and viscera. In the head and neck region, the tumor has been reported to occur in the orbit, tongue, nasopharynx, larynx, and paranasal sinuses and the central nervous system. Despite being a benign lesion, it exhibits infiltrative and destructive behaviours, making histopathological examination necessary to confirm the diagnosis. We report the case of a 38-year-old female presented with a right nasolabial fold mass, which was confirmed histologically to be an IMT. Surgical excision of the mass was achieved through a sublabial approach with an uneventful postoperative period. To the best of our knowledge, this is the first reported case of an IMT in the nasolabial fold.


1993 ◽  
Vol 107 (9) ◽  
pp. 855-857 ◽  
Author(s):  
S. Goshen ◽  
D. Ophir Kfar-Saba

AbstractCystic hygroma of the parotid gland is an uncommon benign congenital neoplasm that presents as an asymptomatic soft fluctuant mass. Cervical ultrasonography, computerized tomography (CT) and magnetic resonance imaging (MRI) are used to assess the size and extent of the lesion and to assist in planning the surgical approach. Ultrasonography may demonstrate a multilocular cystic mass containing septa of variable thicknesses. Extension of the mass into deeper structures is more accurately assessed by CT or MRI. A CT scan may show thin-walled cystic masses filled with material of density close to that of water. The use of contrast medium can demonstrate the relationship of the lesion to the surrounding structures. Magnetic resonance imaging is superior to CT in defining the nature and extent of the lesion.


2013 ◽  
Vol 70 (10) ◽  
pp. 972-975 ◽  
Author(s):  
Jelena Bila ◽  
Bosko Andjelic ◽  
Jelena Bodrozic ◽  
Ljubomir Jakovic ◽  
Maja Perunicic-Jovanovic ◽  
...  

Introduction. Special entities like solitary bone plasmocytoma (SBP) or extramedullary plasmacytoma (EMP) can be found in a less than 5% of patients with plasma cell disorders. EMP of the tongue represents very rare localization of the head and neck plasmacytoma. Case report. We report a case of 78-years-old woman who developed EMP of the tongue base detected by the magnetic resonance imaging (MRI) of the head and neck region. Immunohistochemical profile of the tumor tissue biopsy (CD38, IgG, kappa positivity) indicated diagnosis of EMP. The diagnosis was established with additional staging which confirmed the absence of other manifestation of the disease. The patient was treated with 40 Gy of radiotherapy in 20 doses resulting in the achievement of the complete remission of the disease. This case was discussed with the reference to the literature. Conclusion. EMP of the tongue base is a very rare entity of plasma cell dyscrasias. Appropriate irradiation results in the achievement of a long-term remission and a potential cure of the disease.


2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Zev Frimer ◽  
Daniel Fink ◽  
Ruth Cytter-Kuint ◽  
Victoria Doviner ◽  
Elie Picard

Cystic lymphangioma is an uncommon benign tumor that occurs primarily in children in the cervical region. We report the first case of a pleural-based cystic lymphangioma in an infant. The patient was admitted for RUL pneumonia. Because of the persistence of the radiographic findings despite clinical improvement, a computed tomography (CT) and a magnetic resonance imaging (MRI) scan were performed. They showed a multiloculated cystic lesion in the superior posterior right hemithorax. A surgical procedure was performed with complete resection of the tumor. Histopathological examination showed a pleural-based intrathoracic multicystic lymphangioma. One year after the surgery, the patient feels well without any sign of recurrence.


2020 ◽  
Author(s):  
Jing Hu ◽  
Nan Xie ◽  
Zehang Zhuang ◽  
Cheng Wang

Abstract Background Osteolipoma is an uncommon benign tumor containing mature adipose tissue with bone metaplasia foci. It is rarely observed in head and neck region as compared to the lipoma, especially in the region of parotid gland. Case presentation: We report the first case of intraparotid osteolipoma with its clinical, radiographic and pathological findings. A 47-year-old men presented with an immovable mass in his left cheek with a 10-year evolution. Magnetic resonance imaging (MRI) scans showed a 3.2-cm fat-containing mass involving in the left parotid. The patient was taken to the operating room for excision of the mass and the final pathologic diagnosis was osteolipoma. Due to its rarity and clinical significance, we also reviewed the osteolipoma presenting in major salivary gland regions. Conclusion Intraparotid osteolipoma is an extremely rare neoplasm originating from adipogenic tissue, which should be taken into consideration in the differential diagnosis of parotid tumor.


Author(s):  
N.E. Lambrechts ◽  
J. Pearson

A young adult boxer dog was examined for a painless swelling in the left cranial cervical area that was refractory to antibiotic therapy. Ultrasound examination revealed a hypoechoic mass abutting the rostrolateral aspect of the left mandibular salivary gland. The cystic mass was excised and was found to extend through the capsule of the salivary gland and appeared to be confluent with the glandular tissue at this point. Histopathological examination of the excised tissue demonstrated tissue from all 3 germinal layers. There was no indication of malignancy and the mass was diagnosed as a benign cervical teratoma. Hypotheses regarding the origin of teratomas in general are discussed and the origin of the teratoma in this case is suggested.


2021 ◽  
Vol 49 (4) ◽  
pp. 030006052199976
Author(s):  
Ning Fang ◽  
Laina Ndapewa Angula ◽  
Yu Cui ◽  
Xin Wang

Thyroglossal duct cyst (TGDC) is a congenital neck malformation, with a rate of approximately 7% in paediatric patients. TGDC is rarely detected in infants aged younger than 1 year. Even though TGDC is histologically benign, it is associated with preterm delivery or sudden infant death due to airway obstruction, with a mortality rate of 30% to 40%. We report a rare case of a neonate who presented with a large left lateral neck mass. At 7 to 8 months of gestation, magnetic resonance imaging of the foetal neck showed that there was a high possibility of a cervical cystic lymphangioma. The patient had normal vital signs and was afebrile. She was immediately transferred to our Ear, Nose, and Throat Department for further diagnosis and treatment. A computed tomography scan confirmed a large cystic mass that was positioned against a thyroglossal duct. Excision of the mass in the left neck was performed under general anaesthesia without resecting part of the hyoid bone. A histopathological examination confirmed the diagnosis of a TGDC. Follow-up at 1 year showed no recurrence.


Author(s):  
Qingyun Liu ◽  
Zhenhua Huang ◽  
Sihai Gao

Background: Synovial sarcoma is a rare soft-tissue malignant tumor most commonly occurring in the extremities and head and neck region, and rarely occurring in the pericardium. Case presentation: We report a 7-year-old boy was admitted to the hospital with recurrent fever and chest pain over the past four months. A cardiac magnetic resonance imaging (MRI) revealed a tumor beneath the heart in the pericardial, and we surgical resection it completely. The postoperative histopathological examination resulted in a diagnosis of monophasic spindle cell type synovial sarcoma. After two weeks of hospitalization, the patient was discharged. Three months after discharge, the positron emission tomography (PET/CT) scans did not show any signs of recurrence. Conclusion: Pericardial synovial sarcoma is a rare disease that is detected early, and complete resection improves patient survival. We recommend CT be performed in patients with recurrent fever and sizeable pericardial effusion to rule out possible pericardial synovial sarcoma considering the echocardiography limitations.


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