scholarly journals Unusual sites of dermoid cysts

Author(s):  
Sathyaki D. C. ◽  
Mereen Susan Roy ◽  
Razal Mohammed Sherif ◽  
Ashish Rao

<p class="abstract"><strong>Background:</strong> Epidermoids are ectoderm lined inclusion cysts which can be present anywhere in the body, but are rare in head and neck. Although only 7% of the dermoid cysts occur in head and neck region they are a part of differential diagnosis of neck swellings. They are more common in midline. This study presents to you the dermoids which present in unusual sites.</p><p class="abstract"><strong>Methods:</strong> It was a descriptive study. Cases which were proven as dermoid or epidermoid cysts by FNAC or by histopathology were included in this study.  </p><p class="abstract"><strong>Results:</strong> Male patients were more affected than female patients.</p><p><strong>Conclusions:</strong> Complete removal should be carried out to prevent recurrence. </p>

2016 ◽  
Vol 2 (1) ◽  
pp. 5-8
Author(s):  
N. Mariappan ◽  

Background: Lipoma is a benign tumor composed of mature white adipocytes and it is the most common soft tissue mesenchymal neoplasm. It is well separated from the surrounding tissues by a thin fibrous capsule. Lipomas occur in any part of the body that has fat tissues. 13% of such tumors are seen in the head and neck region. Angiofibrolipoma is a variant of lipoma with a prominent vascular component: Angiofibrolipoma is a subtype of lipoma composed of fibrocytes, capillaries and mature adipocytes. These tumors occur in the forearm, followed by trunk and in the extremities of young individuals. Its occurrence is very rare in the head and neck region. They are benign tumors that cause symptoms depending on their size and location. It is important to bear in mind this clinical entity in the differential diagnosis of the swellings that arise in relation to the tendon sheath. Patient and method: A patient with a recurrent swelling in the right wrist region was taken up for surgery with a clinical diagnosis of a fibrous tumor. Result: Histopathological diagnosis revealed the tumor as a rare variant of lipoma. Conclusion: This report highlights the fact that angiofibrolipoma should be considered in the differential diagnosis of swellings in different regions of the body. Keywords: Angiofibrolipoma, Tendon sheath, Synovial membrane, Soft tissue tumors.


2021 ◽  
Vol 2021 (4) ◽  
Author(s):  
Geoffrey Williams ◽  
Carlos Neblett ◽  
Jade Arscott ◽  
Sheena McLean ◽  
Shereika Warren ◽  
...  

Abstract Kimura disease (KD) is a chronic, inflammatory, benign disorder endemic to Asia that typically manifests as a triad of painless masses in the head and neck region, elevated eosinophils and serum immunoglobulin. It usually affects young men in their second and third decades of life and is rarely seen outside of the orient. This is a report of a case of KD in a young man of African descent who presented with a cheek mass. KD was not included in our differential diagnosis, and this report highlights the need to consider this entity, which can be easily missed due to its rarity in the Western world. There is no cure for the disease, and management includes medical and surgical modalities, but local recurrence or relapse is not uncommon.


Author(s):  
Shalini Jain ◽  
Sahil Maingi ◽  
Ancy S. Sofia ◽  
A. K. Rai

<p class="abstract">Lipoma is a benign mesenchymal tumor with a thirteen percent incidence in head and neck region. Posterior triangle is the most common location while anterior neck lipoma is a rare one. Giant lipomas &gt;10 cm have been reported in different parts of the body but rarely in the anterior neck. Surgical excision remains the treatment of choice. We here report a case of giant anterior neck lipoma in a 50 year old male managed surgically.</p>


2020 ◽  

Introduction: Adenoid cystic carcinoma is a rare salivary gland malignancy that can occur in any part of the body, its clinicopathologic features are scarcely reported in locoregional literature. Therefore, in this study we aimed to evaluate the clinicopathologic features of adenoid cystic carcinoma in our population and to determine the association of age and site of its occurrence with histologic pattern and perineural invasion. Methods: We retrospectively analyzed 30 cases of adenoid cystic carcinoma that underwent surgical resections or biopsies from March 2009 to February 2020 at Liaquat National Hospital and Medical College, Karachi. Clinical and histopathological parameters including age, site, histological pattern and perineural invasion were determined and association between different parameters was analyzed. Results: Mean age of the patients was 30 + 16.1 years. Cribriform pattern was most common histologic pattern (63.3%) while head and neck region was the most common site of occurrence (83.3%). Perineural invasion which is one of the most important prognostic factors in adenoid cystic carcinoma was present in approximately half of the patients (46.7%). No significant association of age and site was found with histologic pattern and perineural invasion. Conclusion: Adenoid cystic carcinoma is a rare malignancy most commonly occurring in head and neck region with a high frequency of perineural invasion. No significant difference of histologic pattern and histologic prognostic parameter like perineural invasion was noted at different ages and different sites in our study.


2019 ◽  
Vol 2019 ◽  
pp. 1-3
Author(s):  
Philipp Arens ◽  
Andrea Ullrich ◽  
Heidi Olze ◽  
Florian Cornelius Uecker

An osseous choristoma is a benign tumor consisting of regular bone tissue in an irregular localization. Choristomas in the head and neck region are rare. Most frequently, they are found in the region of the tongue or oral mucosa. There are also very few reports on osseous choristomas in the submandibular region. We present the case of a woman with a large, caudal osseous choristoma within the lateral cervical triangle. Literature review is given about all of the reported cases in the region of the neck. The pathogenesis is yet unexplained. Our case supports the theory that the development of an osseous choristoma is a reaction to a former trauma. Cervical osseous choristomas are seldom, but they represent an important differential diagnosis when dealing with a cervical tumor.


Author(s):  
J. Naveen Kumar ◽  
Poornima Ravi

Abstract“Surgery” is defined as “treatment of injuries or disorders of the body by incision or manipulation, especially with instruments”. As such, it is nothing more than the mere performance of maneuvers at the operating room and certainly does not qualify to be called “treatment”. It is postoperative care that completes the process, ultimately benefitting the patient. In general, this includes the overall maintenance of wellbeing and early recovery of function before the patient can be discharged to be on his own. Additionally, the maxillofacial patient presents with issues exclusive to the anatomy and physiology of the head and neck region. One needs to have in-depth knowledge of these unique aspects, in addition to being a shrewd clinician at the postoperative ward. This chapter aims to equip the surgeon with such information as is necessary to provide the best of services following maxillofacial surgery.


2015 ◽  
Vol 5 (1) ◽  
pp. 68-69
Author(s):  
Rahul Peswani ◽  
BL Chandrakar ◽  
Rakesh Thakkar ◽  
Ankit Arunbhai Desai

ABSTRACT Lipomas can be found anywhere in the body, with the majority being located in the head and neck region, as well as the back and abdomen. Lipomas are one of the most common benign, mesenchymal neoplasms. They may progress in size overtime and they may or may not be painful. They may be superficial or deep. Deep soft-tissue lipomas of the hand are rare. Among them, thenar intramuscular lipomas are very rare. We are reporting case of thenar intramuscular lipoma. Desai AA, Chandrakar BL, Thakkar R, Peswani R. Lipoma in Thenar Region. The Duke Orthop J 2015;5(1):68-69.


Author(s):  
Dr. Bipin Gandhi

INTRODUCTION: Lesions in head and neck have always been a diagnostic dilemma for a pathologist and a treating clinician. Being on the exposed part of body, they become cosmetically unacceptable. These include lesions arising from the regional group of lymph nodes. Most commonly lymphadenopathy is a common clinical presentation. The diagnostic probability ranges from infections to developmental abnormalities, from inflammatory to malignant lesions. None the less all the lesions in lymph nodes of the head and neck region cannot be limited to a particular age group and gender. Routine staining procedures like PAP, Giemsa, Field and even H & E has been used to clinch the pathogenesis of the lesion. It can be said without any fear of contradiction that FNAC is certainly a very important tool for an early diagnosis of not only head and neck lesions but also other lesions elsewhere in the body. MATERIAL AND METHODS: This is a comparative study which was conducted in the department of pathology. The patients were subjected to detailed history and thorough clinical examination according to the working proforma. Patients were subjected to FNAC after written informed concent. The slides were stained using PAP, Giemsa and H&E stain and examined for underlying pathology. A detailed gross examination was done and 3-15 sections were selected from the representative areas for routine paraffin sections.  RESULTS: Amongst the total of 296 patients aspirated, 127 were from Lymph Nodes of head and neck region. Cervicallymph nodes were the most common group of lymph nodes aspirated, followed by submandibular and submental lymph nodes. Age wise tabulation shows maximum frequency of inflammatory lesions at younger age, of  which reactive hyperplasia was more common in pediatric age group and tuberculous lesions were more common in 20-40years of age. CONCLUSION: Cervical lymph nodes were the most common group of lymph nodes aspirated, followed by submandibular and submental lymph nodes. Reactive lymphadenitis is the most frequent diagnosis amongst the lymph node lesions and tuberculous lesions was the second most common diagnosis amongst all the lymph node lesions. 35 cases out of 127, as tuberculous lymphadenitis. Histopathology correlation could be done in 36 cases, of which 32 were found be correctly diagnosed in cytology.


2017 ◽  
Vol 1 (2) ◽  
pp. 65-68
Author(s):  
DM Arman ◽  
SM Ekramullah ◽  
SK Mukherjee

Sarcomas are malignant neoplasms originating from mesodermal tissues that constitute connective tissues of the body. This seven years old girl was born after an uncomplicated full term pregnancy. Her physical status at birth was unremarkable. Her younger sister is healthy. At age of one and a half year she developed swelling over posterior head and neck region that was gradually increasing. The rate of growth was more rapid from October 2014. She was admitted in National Institute of Neurosciences & Hospital (NINS). Local examination showed a giant swelling 22X17X21 cm in size over posterior head and neck region, fixed to the sub-occipital bone, firm in consistency. Her general and neurological examination revealed no abnormalities.The authors present a case of a giant soft tissue fibrosarcoma of posterior head and neck of a seven years old girl. The case has been discussed.Journal of National Institute of Neurosciences Bangladesh 2015;1(2): 65-68


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