scholarly journals Chondroid syringoma of face (nasomaxillary groove): case report

Author(s):  
Chandra Shekar Reddy ◽  
Gowri Sankar Marimuthu ◽  
Sivaraman Ganesan ◽  
Arun Alexander

<p class="abstract"><span lang="EN-IN">Chondroid syringoma, is a benign neoplasm of sweat gland origin with an overall reported incidence of 0.01-0.098 percent. These tumours being rare can easily be misdiagnosed and should be included in the differential diagnosis of any slowly growing nodule in the skin of the face. The diagnosis is confirmed after histopathologic examination of tissue obtained by excisional biopsy. Treatment of choice is local surgical excision with a cuff of normal tissue, in order to prevent recurrence. We present a case of chondroid syringoma of the face (nasomaxillary groove), highlighting the rarity of the tumour and the surgical incision resulting in excellent cosmetic result.</span></p>

Author(s):  
Ashiya Goel ◽  
Aman . ◽  
Vinny Raheja ◽  
Manisha Kumari

<p class="abstract"><span lang="EN-US">Chondroid syringomas are uncommon cutaneous neoplasms of sweat gland origin which are slow-growing, nontender, subcutaneous or intracutaneous in location and often occurring in the head and neck region. Chondroid syringoma should be considered in the differential diagnosis of any subcutaneous nodule over the face. The clinician may miss the diagnosis of this lesion and if it is suspected, tumour should be excised with a margin of normal tissue and regular follow up should be done.</span></p>


1997 ◽  
Vol 111 (9) ◽  
pp. 862-864 ◽  
Author(s):  
Deepa Bhargava ◽  
Shivayogi Bhusnurmath ◽  
A. S. Daar

AbstractChondroid syringoma or mixed tumour of the skin is a rare benign tumour which can present on the face. We present here the case of a patient who underwent an excisional biopsy of a small painless nodule in the soft triangle of the nose for cosmetic reasons. The clinical presentation, histology and treatment, with review of the relevant literature, is discussed.


2021 ◽  
Vol 14 (12) ◽  
pp. e245354
Author(s):  
Priyanka V Walvekar ◽  
Saumya Jakati ◽  
Nandini Bothra ◽  
Swathi Kaliki

Chondroid syringoma is a benign mixed tumour arising from the sweat glands which can be apocrine (found throughout the surface of the eyelid) or eccrine with a mean age of presentation being 50 years. Here we report two cases of chondroid syringoma of the upper eyelid, one in a young male patient and the other in an elderly woman. Both cases had well-defined lesions involving upper eyelid in the sub-brow region, underwent excisional biopsy, and histopathological findings were consistent with an apocrine type of chondroid syringoma in one case and eccrine type of chondroid syringoma in the second case. It is important to be aware of this entity as a rare cause of eyelid lesion due to the fact that although it is a benign neoplasm, incomplete excision may be associated with recurrence or malignant transformation.


2020 ◽  
Vol 61 (2) ◽  
pp. 122-128
Author(s):  
Emerson Lucas da Silva Coimbra ◽  
William Napolitano Corrêa ◽  
Ana Flávia Schueler de Assumpção Leite ◽  
Simone De Queiroz Chaves Lourenço ◽  
Monica Lage da Rocha ◽  
...  

Fibrolipoma is a benign neoplasm characterized by the presence of mature adipose cells separated by broad bands of dense fibrous connective tissue. This pathology is a microscopic variant of lipoma and can affect any part of the body. However, its occurrence in the oral cavity is uncommon. It is usually a smooth-surface lesion, asymptomatic, slow-growing, pedicled, asymptomatic, yellowish or pinkish color when deeper, soft on palpation, occurring mainly in the jugal mucosa. Thus, the aim of this paper is to describe the main clinical, histopathological and treatment characteristics of a clinical case of fibrolipoma. A 67-year-old female patient, leukoderma, had a normochromic, asymptomatic, firm palpation nodule, fibrous consistency, and smooth surface, with a time course of approximately two years, located in the left jugal mucosa. The diagnostic hypotheses were lipoma, fibroma, mucus extravasation phenomenon and giant cell fibroma. The patient underwent excisional biopsy and histopathological examination revealed the definitive diagnosis of fibrolipoma. The patient is in preservation, with no sign of relapse. It is concluded that, although fibrolipoma is a benign lesion, its growth can reach large dimensions, reinforcing the need for surgical excision. It should also emphasize the importance of histopathological examination to differentiate histopathological variations of lipoma.


2021 ◽  
Vol 49 (01) ◽  
pp. 046-055
Author(s):  
Victoria Hernández ◽  
Tania Lena ◽  
Eliana Camacho ◽  
Matías Craviotto

AbstractGlomus tumors are a mostly benign neoplasm that constitutes less than 4% of upper-limb soft-tissue tumors. Its unspecific clinical presentation, added to its low frequency, leads to a late diagnosis.The objective of the present study is to update the clinical-paraclinical approach and the surgical technique used in the treatment.We carried out a literature review from 2014 to 2019 on digital glomus tumor in the hand in adult patients using the PubMed search engine.In most of the publications analyzed, the diagnosis was clinical, with a delay of 1 to 10 years. Plain radiography is the most requested study; of the 16 articles reporting its indication, only half evidenced compatible changes. Magnetic resonance imaging (MRI) was requested in 15 articles, presenting normal results in 3 of them. The treatment of choice was surgical excision using a transungual approach. Only 4 articles report recurrence after excision.Although there is diversity in the approach to these tumors, we conclude that the diagnosis is clinical, and the treatment surgical, and there is no consensus regarding the paraclinical indication. The information available comes mainly from case reports, publications that contribute to the generation of evidence for the clinical practice in rare diseases such as this one.


2021 ◽  
Vol 156 (Supplement_1) ◽  
pp. S88-S89
Author(s):  
A Lazim ◽  
R Kuklani ◽  
D Sundararajan

Abstract Introduction/Objective Adenomatoid odontogenic tumor (AOT) is an uncommon benign odontogenic tumor representing 3 to 7% of all odontogenic tumors. This tumor was first reported as adeno-ameloblastoma by Bernier and Tiecke in 1950 as it was initially assumed to be a type of ameloblastoma. In 1969, Philipsen and Bern proposed the term adenomatoid odontogenic tumor which was subsequently adopted by WHO and became the accepted terminology for this tumor. AOT is classified as a tumor of odontogenic epithelium but occasionally abnormal hard tissues consistent with dentinoid material may also be present as part of the tumor. AOT tends to occur in younger patients and 50% of the cases are diagnosed in teenagers. It occurs twice as commonly in females and frequently involves the anterior maxilla. Radiographically, AOT can appear as a radiolucent or mixed lucent-opaque lesion and may be associated with an impacted tooth. Methods/Case Report We report two unusually large expansile lesions of AOT that presented in the mandible. In the first case, the tumor presented as an expansile radiolucent lesion involving the right posterior mandible in a 32 year old female. In the second case, the tumor presented as an expansile mixed lucent-opaque lesion involving the left anterior mandible in a 21 year old female. The clinical presentation, radiographic and imaging findings, histopathologic features and treatment of these two cases will be discussed. The recommended treatment for AOT is surgical excision. The prognosis is good as this tumor seldom recurs after excision. Results (if a Case Study enter NA) NA Conclusion AOT is considered to be a non-aggressive, non-invasive and slow growing benign neoplasm. It is usually discovered on routine radiographic examination as the lesion is usually small and asymptomatic at the time of diagnosis but occasional cases that are larger in size have been reported in the literature.


2013 ◽  
Vol 88 (6 suppl 1) ◽  
pp. 89-92 ◽  
Author(s):  
Ilner de Souza e Souza ◽  
Mayra Carriijo Rochael ◽  
Rogério Estevam Farias ◽  
Roberto Bezerra Vieira ◽  
Janaina Silva Tirapelle Vieira ◽  
...  

Nodular fasciitis is a benign tumor, resulting from reactive proliferation composed of fibroblastic/myofibroblastic cells. Due to its rapid growth and high cellularity it may be mistaken for sarcoma. Despite the possibility of spontaneous regression, excision is the treatment of choice. A 24-year-old female patient presented with a nodule on the zygomatic region with 3 months of evolution. Excisional biopsy was performed. Histopathological examination associated with immunohistochemical markers HHF35, AML and Ki-67 allowed diagnostic confirmation. The main relevance of the case presented is its rare location, suggesting its inclusion among the differential diagnoses of tumor lesions on the face.


2018 ◽  
Vol 8 ◽  
pp. 41
Author(s):  
Malarkodi Thanthoni ◽  
P Rajeev ◽  
S Sathasivasubramanian

Calibre-persistent labial artery (CPLA) is a commonly underdiagnosed vascular lesion of the lip. CPLA is an arterial branch that penetrates the submucosal tissue without loss of calibre. Clinical diagnosis is significant as misdiagnosis can lead to profuse haemorrhage following an excisional biopsy or surgical excision. Colour Doppler ultrasonography is a safe and non-invasive diagnostic tool to confirm the diagnosis. Here, we report a case of a 24-year-old man who complained of an asymptomatic pulsating non-progressive nodule on the left side of upper lip initially diagnosed as peripheral angiomatous lesion. Diagnosis was confirmed by high-resolution Colour Doppler Ultrasonography. The purpose of this case report is to highlight the clinical importance and diagnosis of a rarely reported soft tissue swelling of the lip to the attention of clinicians.


2017 ◽  
Vol 47 (1) ◽  
pp. 74
Author(s):  
Astin Prima Sari ◽  
Dian Ayu Ruspita

Latar belakang: Schwannoma merupakan tumor jinak yang berasal dari sel Schwann. InsidenSchwannoma aurikula sangat jarang. Sebagian besar yang terjadi adalah Schwannoma vestibular.Penatalaksanaaan dengan ekstirpasi secara in toto dapat mencegah kekambuhan.Tujuan: Melaporkansatu kasus jarang, yaitu Schwannoma aurikula yang meluas ke kanalis auditorius eksternus (KAE).Kasus: Anak laki-laki usia 3 tahun datang dengan keluhan muncul benjolan pada daun telinga kiri sejak 6bulan terakhir, yang membesar perlahan hingga menutupi liang telinga. Dilakukan ekstirpasi biopsi padamassa tumor, dengan pendekatan retroaurikula. Massa dapat dilepas secara in toto. Hasil histopatologikesan Schwannoma. Enam bulan pasca operasi tidak didapatkan kekambuhan.Metode: Penelusurankepustakaan didapatkan 5 jurnal laporan kasus yang relevan.Hasil: Dari 5 kasus, seluruhnya melakukanekstirpasi massa Schwannoma secara in toto. Terdapat 2 kasus mengunakan pendekatan transmeatal, 2kasus dengan pendekatan retroaurikula, dan 1 kasus ekstirpasi langsung pada aurikula.Kesimpulan:Schwannoma aurikula merupakan kasus yang sangat jarang. Tidak ada kecenderungan usia maupun jeniskelamin tertentu. Penanganan dengan ekstirpasi yang komplit dapat mencegah kekambuhan.Kata kunci: Schwannoma aurikula, ekstirpasi, insisi retroaurikula ABSTRACTBackground: Schwannoma is a Schwann cells benign tumors. The incidence of auricularSchwannoma is rare. The most common is vestibular Schwannoma. Treatment of choice is completesurgical excision, and recurrence is rare. Purpose: Reporting a rase case of an auricular Schwannomathat spread to external auditory canals. Case: A three years old boy presented with a swelling in the leftauricular for 6 months, which was progressively increasing and spread into external auditory canals.An excisional biopsy via postauricular was performed under general anesthesia. The mass was totallyremoved. Diagnosis was reported to be Schwannoma by histopathologic examination. There was no signsof local recurrence during a 6 months of follow-up period. Method: Search literatures for evidence found5 case report journals were relevant to our clinical question. Result: From the 5 journals, all of themopted to do total excisional removal, 2 cases by transmeatal incision, 2 cases by postauricular incision,and 1 case by direct incision of the auricular mass. Conclusion: Auricular schwannoma is a rare case.Previous case reports showed no sufficient relevance on the age and sex tendency to the occurence ofauricular Schwannoma. A complete extirpation can prevent recurrence.Key words: Auricular schwannoma, extirpation, postroauricular incision


2021 ◽  
Vol 22 (4) ◽  
pp. 199-203
Author(s):  
Jeenam Kim ◽  
Minkyoung Jeong ◽  
Dongkeun Jun ◽  
Myungchul Lee ◽  
Donghyeok Shin ◽  
...  

Primary cutaneous CD4+ small/medium T-cell lymphoproliferative disorder is a rare disease characterized by a single mass on the face or upper part of the trunk. It usually presents an asymptomatic and favorable progression, and its histopathologic findings include small and medium-sized lymphoid cells. The authors report a case of primary cutaneous CD4+ small/medium T-cell lymphoproliferative disorder on the forehead. A 51-year-old man presented with a protruding mass on his forehead that the patient had noted 1 month previously. Surgical excision and a permanent biopsy were performed under local anesthesia. Based on the biopsy results, the mass was diagnosed as a primary cutaneous CD4+ small/medium T-cell lymphoproliferative disorder. There was no evidence of recurrence at a 15-month follow-up visit.


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