scholarly journals Cervical root schwannoma: a case series

2016 ◽  
Vol 2 (1) ◽  
pp. 43
Author(s):  
Harshad Nikte ◽  
Nitish Virmani ◽  
Jyoti Dabholkar
Keyword(s):  
Case Series ◽  
Surgical Excision ◽  
Needle Aspiration ◽  
Neck Mass ◽  
Malignant Degeneration ◽  
Spinal Root ◽  
Nerve Tumor ◽  
Complete Surgical Excision ◽  
Operative Findings ◽  
Cervical Root

Cervical root schwannoma is an infrequent benign peripheral nerve tumor though those arising from high cervical spinal root are common amongst the spinal schwannomas. This mass commonly presents as a slow growing, asymptomatic, solitary neck mass with rare potential of   malignant degeneration. Displacement of Internal jugular vein and carotids anteriorly is frequently seen though abutment of esophagus is uncommon. Pre operative diagnosis can be established with imaging and Fine needle aspiration cytology (FNAC). Complete Surgical excision is the treatment of choice. Horner’s syndrome is the most common post operative neurological manifestation. Here we have recorded clinical features intra-operative findings and surgical histopathology. We have described a case of 19 year old male with cellular schwannoma of cervical sympathetic chain with intraspinal extension and arising from C5-C8 level. Another case of cervical root schwannoma is described in a 5 year old girl arising at C4-C5 level. Complete surgical excision was done for both patients with no postoperative neurological affection. The clinico-pathological evaluation and management are described

scholarly journals Lipofibromatosis: An Unusual Head and Neck Mass in the Paediatric Age Group

2011 ◽  
Vol 26 (1) ◽  
pp. 39-41
Author(s):  
Yogender Singh Kadian ◽  
Kamal Nain Rattan ◽  
Shalini Aggarwal ◽  
Shilpi Modi ◽  
Rajnish Kalra
Keyword(s):  
Head And Neck ◽  
Neck Region ◽  
Surgical Excision ◽  
Needle Aspiration ◽  
Neck Mass ◽  
Soft Tissue Neoplasm ◽  
Complete Excision ◽  
Complete Surgical Excision ◽  
Paediatric Age ◽  
Rare Lesion

Objective: To describe a rare case of lipofibromatosis presenting as a head and neck mass in a 6-year-old child.   Method: Design: Case Report Setting: Tertiary Public General Hospital Patient: One   Result: A six-year-old male child admitted with a large right head and neck region mass underwent complete excision of a possible soft tissue neoplasm following investigations which included Fine Needle Aspiration Cytology, Ultrasonography and Computed Tomography. Histopathological examination yielded lipofibromatosis, a very rare lesion with a distinctive fibrofatty pattern. The patient was well with no recurrence after three months of follow up.   Conclusion: Although lipofibromatosis is a rare lesion in children and has a predilection for distal extremities, it may also present as a mass in the head and neck area. Complete surgical excision is feasible and is the only treatment option available for this rare lesion   Keywords: lipofibromatosis

scholarly journals Extensive parapharyngeal and skull base neuroglial ectopia; a challenge for differential diagnosis and treatment: case report

2010 ◽  
Vol 128 (5) ◽  
pp. 302-305 ◽  
Author(s):  
Giulianno Molina de Melo ◽  
Gabrielle do Nascimento Holanda Gonçalves ◽  
Ricardo Antenor de Souza e Souza ◽  
Danilo Anunciatto Sguillar
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Skull Base ◽  
Infratemporal Fossa ◽  
Newborn Infants ◽  
Surgical Excision ◽  
Neck Mass ◽  
Oral Feeding ◽  
Feeding Difficulties ◽  
Complete Surgical Excision

CONTEXT: Neuroglial ectopia has been defined as a mass composed of differentiated neuroectodermal tissue isolated from the spinal canal or cranial cavity and remains rare. This lesion has to be considered in the differential diagnosis among newborn infants with classical symptoms of respiratory distress, neck mass and feeding difficulties. We present a rare case of extensive parapharyngeal and skull base neuroglial ectopia in 6-month-old girl who presented respiratory and feeding obstruction at birth. CASE REPORT: A six-month-old girl who presented upper respiratory and feeding obstruction at birth and was using tracheostomy and gastrostomy tubes was referred to our institution. Complete surgical excision of the mass consisted of a transcervical-transparotid approach with extension to the infratemporal fossa by means of a lateral transzygomatic incision, allowing preservation of all vital neurovascular structures. The anatomopathological examination showed a solid mass with nests of neural tissue, with some neurons embedded in poorly encapsulated fibrovascular stroma, without mitotic areas, and with presence of functioning choroid plexus in the immunohistochemistry assay. Neurovascular function was preserved, thus allowing postoperative decannulation and oral feeding. Despite the large size of the mass, the child has completed one year and six months of follow-up without complications or recurrence. Neuroglial ectopia needs to be considered in diagnosing airway obstruction among newborns. Surgical treatment is the best choice and should be performed on clinically stable patients. An algorithm to guide the differential diagnosis and improve the treatment was proposed.

scholarly journals Retroperitoneal pelvic schwannoma in pregnancy: a case report

2017 ◽  
Vol 6 (8) ◽  
pp. 3689 ◽  
Author(s):  
Nithya J. ◽  
Banumathy M. ◽  
Radha A.
Keyword(s):  
Spindle Cell ◽  
Surgical Excision ◽  
Needle Aspiration ◽  
Nerve Sheath Tumor ◽  
Ct Guided ◽  
Spindle Cell Neoplasm ◽  
Complete Surgical Excision ◽  
S 100 ◽  
Needle Aspiration Cytology ◽  
In Pregnancy

Solitary nerve sheath tumor such as Benign schwannomas arising in the pelvic retro peritoneum is infrequently reported. Retroperitoneal location accounts for 0.3-3.2% of primary schwannomas. We report a case of benign retroperitoneal pelvic schwannoma in pregnancy that was incidentally diagnosed when it presented with Preterm premature rupture of membranes and mechanical obstruction for labour. She underwent caesarean section and delivered a healthy baby. She was evaluated in the postoperative period by computerized tomography (CT) imaging studies and CT guided fine needle aspiration cytology (FNAC) was not diagnostic. Complete surgical excision of the tumor was achieved in the postpartum period. The adjacent vascular and urinary channels sustained no injuries and she had no neurologic deficit. Histology revealed spindle cell neoplasm composed of interlacing fascicles and sheets of spindle cell with focal areas of nuclear palisading and thick walled blood vessels. Immunohistochemistry was positive for S 100 suggesting schwannoma. Retroperitoneal location of schwannomas is rare and surgery is curative. Prognosis is good, since recurrence is rare. 

scholarly journals Head and neck inflammatory pseudotumor: Case series and review of the literature

2016 ◽  
Vol 29 (6) ◽  
pp. 440-446 ◽  
Author(s):  
Sagar Kansara ◽  
Diana Bell ◽  
Jason Johnson ◽  
Mark Zafereo
Keyword(s):  
Head And Neck ◽  
Inflammatory Pseudotumor ◽  
Case Series ◽  
Surgical Excision ◽  
Excisional Biopsy ◽  
Disease Recurrence ◽  
Neck Mass ◽  
Level Ii ◽  
Oral Corticosteroids ◽  
Inflammatory Pseudotumors

Inflammatory pseudotumor (IP) is an uncommon idiopathic lesion that often imitates malignancy clinically and radiologically. Inflammatory pseudotumors have been found to occur in various sites but rarely in the head and neck. The histopathology, imaging, and treatment of three unique cases of head and neck inflammatory pseudotumors are described in this case series. Patients in Cases 1 and 2 presented with right level II neck mass and left parotid tail mass, respectively. The patient in Case 3 presented with otalgia, jaw pain and trismus, and a left parapharyngeal space mass. The tumors in Cases 1 and 3 significantly decreased in size with tapered courses of oral corticosteroids. The tumor in Case 2 was surgically excised without disease recurrence. Malignancy must be ruled out with incisional or excisional biopsy. Treatment includes surgical excision, oral corticosteroids, or both. The literature shows that radiotherapy and small-molecule inhibitors may be promising alternatives.

scholarly journals A Bilobed Schwannoma in Roof of Orbit: A Rare Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-4
Author(s):  
Somya Dulani ◽  
Sachin Diagavane ◽  
Seema Lele ◽  
Harshal Gaurkhede
Keyword(s):  
Peripheral Nerve ◽  
Surgical Excision ◽  
Needle Aspiration ◽  
Aspiration Cytology ◽  
Supraorbital Nerve ◽  
Nerve Tumor ◽  
Peripheral Nerve Tumor ◽  
Rare Case Report ◽  
Needle Aspiration Cytology ◽  
Painless Mass

In this paper, we report a case of bilobed schwannoma, presented in the roof of orbit arising from supraorbital nerve. A 62-year male presented with a nontender mass in superior part of orbit and eccentric proptosis. Visual acuity and rest of ocular examination were normal. CT scan and MRI orbit revealed an extraconal homogenous bilobed mass, of size 3.5 to 2.5 cms in roof of orbit. Fine needle aspiration cytology was done, which was suggestive of schwannoma a peripheral nerve tumor. Successful surgical excision of intact bilobed schwannoma was done with careful separation and preservation of supraorbital nerve from which it was originated. Postoperative period was uneventful though rare, less than 1%, schwannoma can present as painless mass in the orbit and proptosis. Treatment of choice is surgical excision of intact tumor to prevent recurrence and preservation of peripheral nerve from which it arises.

scholarly journals Giant lipoma of breast-a diagnostic dilemma

2021 ◽  
Vol 8 (2) ◽  
pp. 752
Author(s):  
D. J. Balsarkar ◽  
Sachin A. Suryawanshi ◽  
Muna Shaikh ◽  
Sudhir Dhobale
Keyword(s):  
Phyllodes Tumor ◽  
Surgical Excision ◽  
Needle Aspiration ◽  
Left Breast ◽  
Normal Breast ◽  
Diagnostic Challenge ◽  
Diagnostic Dilemma ◽  
Common Benign Tumor ◽  
Complete Surgical Excision ◽  
Giant Lipoma

Lipoma is the most common benign tumor of adipose tissue. Giant lipoma of breast is very rare.Majority of them are small in size, slow growing and asymptomatic until they reach large size. Most patients seek medical advice due to asymmetry in the breast and due to fear of malignancy. Breast lipomas pose a diagnostic challenge due to similarity of their texture to normal breast parenchyma and make it difficult to distinguish from other common breast lesions. The clinical and radiographic identification of breast lipoma remains challenging. Complete surgical excision with the capsule is essential to prevent recurrence. Breast reconstruction may require, to prevent asymmetry following surgical excision of giant breast lipoma. High degree of clinical suspicion and histolopathological correlation will help in preopertaive diagnosis of this clinical condition. Here, we report a case 50- year -old woman with left breast lump which clinically, radiologically and on fine needle aspiration cytology was diagnosed as phyllodes tumor, but after surgical excision it was reported as breast lipoma on final histopathology.

Ectopic Cervical Thymus: A Common, yet Rarely Symptomatic Pediatric Neck Mass

2020 ◽  
Vol 16 ◽  
Author(s):  
Lee Rousslang ◽  
Jaren Meldrum ◽  
Rooks Veronica ◽  
Augustah Poutre ◽  
Timothy Biega
Keyword(s):  
Differential Diagnosis ◽  
Pediatric Patients ◽  
Incidental Finding ◽  
Case Series ◽  
Surgical Excision ◽  
Neck Mass ◽  
Thymic Tissue ◽  
Ectopic Thymus ◽  
Unusual Finding

Abstract:: Ectopic thymic tissue is an unusual finding that is generally asymptomatic. We present a case series of five pediatric patients with cervical ectopic thymuses. In two patients, the ectopic thymic tissue was symptomatic, and in three patients it was an incidental finding. We highlight the need to include this anomaly on the differential diagnosis for a pediatric neck mass. We also propose observation, rather than surgical excision, as the treatment of choice for asymptomatic cervical ectopic thymus.

Giant lipoma of the face and neck – a case report

2017 ◽  
Vol 7 (1) ◽  
pp. 0-0
Author(s):  
P. Bortnik ◽  
J. Borys ◽  
P. Załęski ◽  
A. Stankevich ◽  
E. Tryniszewska . ◽  
...  
Keyword(s):  
Fine Needle Aspiration Biopsy ◽  
Histopathological Examination ◽  
Maxillofacial Surgery ◽  
Surgical Excision ◽  
Needle Aspiration ◽  
Body Regions ◽  
Complete Surgical Excision ◽  
The Face ◽  
Giant Lipoma ◽  
Tentative Diagnosis

A 65-year-old patient with multiple lipomas of various body regions presented to the Maxillofacial Surgery Clinic in Bialystok to treat a giant lipoma of the face and neck. After undergoing in-depth diagnostics (CT of this area), the patient was qualified and prepared for planned surgery in the clinic. The treatment of choice was a complete surgical excision of the lipoma. The intra- and postoperative course was uneventful. Postoperative histopathological examination confirmed the tentative diagnosis established on the basis of the fine-needle aspiration biopsy and clinical examination.

Eosinophilic angiocentric fibrosis of the nose and sinuses

2014 ◽  
Vol 128 (12) ◽  
pp. 1071-1077 ◽  
Author(s):  
J Rimmer ◽  
P Andrews ◽  
V J Lund
Keyword(s):  
Granulomatosis With Polyangiitis ◽  
Case Series ◽  
Rare Condition ◽  
Surgical Excision ◽  
Upper Respiratory Tract ◽  
Immunoglobulin G4 ◽  
Disease Spectrum ◽  
Complete Surgical Excision ◽  
Male Patients ◽  
Eosinophilic Angiocentric Fibrosis

AbstractBackground:Eosinophilic angiocentric fibrosis is a rare benign disorder of the upper respiratory tract. It is slow growing and progressive, with characteristic histological appearances.Methods:We report the largest single-institution case series of sinonasal eosinophilic angiocentric fibrosis to date, comprising nine patients. The current literature is reviewed, showing emerging evidence that this condition may belong to the immunoglobulin G4-related disease spectrum.Results:The series comprised five female and four male patients, with a mean age at presentation of 53 years. All were treated surgically. Six patients had no signs of recurrent disease after an average of 8.5 years. One patient went on to develop granulomatosis with polyangiitis (Wegener's granulomatosis), which required immunosuppressive therapy.Conclusion:The first-line management of this rare condition is complete surgical excision. Chronic granulomatous conditions, including granulomatosis with polyangiitis, should be excluded before a diagnosis is made, and patients should be carefully followed.

scholarly journals Sublingual Schwannoma: A Rare Clinical Entity reported in a Hypothyroid Female

2012 ◽  
Vol 3 (1) ◽  
pp. 33-39 ◽  
Author(s):  
Sudhir Naik ◽  
S Ravishankara ◽  
Mohan K Appaji ◽  
MK Goutham
Keyword(s):  
Head And Neck ◽  
Surgical Excision ◽  
Neck Surgery ◽  
Clinical Entity ◽  
Malignant Degeneration ◽  
Rare Clinical Entity ◽  
Benign Schwannoma ◽  
Complete Surgical Excision ◽  
S 100 ◽  
Contrast Ct

ABSTRACT Background Schwannomas are solitary, encapsulated tumor usually attached to, or surrounded by a nerve and are not associated with von Recklinghausen's disease and rarely show malignant degeneration. Setting Department of ENT, Head and Neck Surgery, KVG Medical College, Sullia. Case report A 68-year-old female presented with pain at the left side of the tongue since 1 month. Also a firm to soft 7 × 5 cm sublingual swelling of long-standing duration was seen. FNAC was inconclusive and contrast CT showed a sublingual swelling with mild-contrast enhancement. Intervention Sublingual excision of the tumor was done under general anesthesia and the tumor enucleated. No complications were seen and the recovery was uneventful. Histopathological report came as benign schwannoma and immunoreactive to S- 100 protein. Conclusion Most of the intraoral schwannomas are managed by complete surgical excision and recurrence are not reported. Malignant transformation is not seen in any of the intraoral schwannomas but definite preoperative diagnosis is necessary to avoid wide excision when the tumors can be easily enucleated without recurrence. How to cite this article Naik SM, Goutham MK, Ravishankara S, Appaji MK. Sublingual Schwannoma: A Rare Clinical Entity reported in a Hypothyroid Female. Int J Head and Neck Surg 2012;3(1):33-39.

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