Plunging ranula presenting as a subcutaneous neck mass: a diagnostic dilemma

Malignant peripheral nerve sheath tumours of thyroid are rare entities that can present a diagnostic dilemma. We present the case of a patient who presented with neck mass with a history of multiple neck surgeries and airway compression. The patient’s previous histopathology was mistaken for Riedel’s thyroiditis in an outside hospital, which delayed appropriate treatment leading to suffering on part of the patient and frustration on part of the physician. We emphasise that rare malignancies should be considered in rapidly growing neck masses that are causing airway compression, and histopathology of such tumours should be reported by expert pathologists.

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A Diagnostic Dilemma of Lateral Neck Cyst: A Lesson Learnt

Bangladesh Journal of Otorhinolaryngology ◽

10.3329/bjo.v27i1.53213 ◽

2021 ◽

Vol 27 (1) ◽

pp. 92-95

Author(s):

Dayang Anis Asyikin Ahmad Nazari ◽

Mohamad Khir Abdullah ◽

Noorizan Yahya ◽

Siti Halimahtun Sahab ◽

Loo Lit Yee ◽

...

Keyword(s):

Papillary Thyroid Carcinoma ◽

Thyroid Carcinoma ◽

Metastatic Lymph Node ◽

Neck Mass ◽

Cystic Mass ◽

Lateral Neck ◽

Papillary Thyroid ◽

Diagnostic Dilemma ◽

Appropriate Treatment ◽

Left Neck

Large cystic mass is an unusual presentation of papillary thyroid carcinoma, accounting for less than 10% of cases. To make a diagnosis of papillary thyroid carcinoma is challenging since the tumour can mimic a benign lateral neck mass. Therefore, a systematical approach to a patient with neck lump is required so that accurate diagnosis and appropriate treatment can be made. We present a case of a 25-year-old female presenting with an asymptomatic left neck cystic mass diagnosed as a metastatic lymph node of papillary thyroid carcinoma only after surgery. Bangladesh J Otorhinolaryngol; April 2021; 27(1): 92-95

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Paediatric neck masses – a diagnostic dilemma

The Journal of Laryngology & Otology ◽

10.1017/s0022215100137867 ◽

1997 ◽

Vol 111 (6) ◽

pp. 541-545 ◽

Cited By ~ 29

Author(s):

A. A. P. Connolly ◽

K. MacKenzie

Keyword(s):

Lymph Node ◽

Needle Aspiration ◽

Neck Mass ◽

Malignant Tumours ◽

Diagnostic Dilemma ◽

Neck Masses ◽

The Mean ◽

Needle Aspiration Cytology ◽

Sick Children ◽

Reactive Hyperplasia

AbstractThree hundred and sixty children who had a head and neck mass excised during 1987 to 1992 at the Royal Hospital for Sick Children, Glasgow were studied. There were 210 males and 150 females with a mean age of 60.7 months (0.5 to 198 months). Pilomatrixomata/sebaceous cysts (34 per cent), thyroglossal cysts (13 per cent), branchial remnants (nine per cent) and dermoids (nine per cent) accounted for almost twothirds of the 264 non-lymphadenomatous benign lesions excised. Ninety-three lymphadenopathy masses consisted of 60 with reactive hyperplasia, 21 with Mycobacterium infection and 12 lymphomas. There were three solid malignant tumours, two were rhabdomyosarcomata and one disseminated round cell tumour. The correlation between clinical diagnosis and histopathology of benign non-lymph node masses and solid tumours was 90 per cent and 100 per cent respectively, in benign lymph nodes, 66 per cent, but was poor in differentiating lymph node content. The mean time from presentation of a swelling to its excision was almost a year and the mean in-patient stay for excision of a mass was almost five days. The role of fine needle aspiration cytology (FNAC) in arriving at a diagnosis and reducing patient morbidity is discussed.

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Angioleiomyoma presenting as a lateral neck lump: a diagnostic dilemma

Journal of Surgical Case Reports ◽

10.1093/jscr/rjaa021 ◽

2020 ◽

Vol 2020 (3) ◽

Author(s):

Tyson A Moore ◽

Toan D Pham ◽

Hai T Bui

Keyword(s):

Excisional Biopsy ◽

Neck Mass ◽

Lateral Neck ◽

Diagnostic Dilemma ◽

Supraclavicular Fossa ◽

Computed Tomography Scans ◽

Hypervascular Tumour ◽

History Of ◽

Neck Lump ◽

The Right

Abstract Angioleiomyomas are defined as benign dermal or subcutaneous tumours consisting of smooth muscle cells arranged around vascular channels. Head and neck angioleiomyomas are rarely encountered as they usually occur in the extremities. We report a case of a 71-year-old male, who presented with a 3-month history of a painless lateral neck lump. Ultrasound and computed tomography scans localised the suspicious hypervascular tumour to the right supraclavicular fossa between the two heads of sternocleidomastoid muscle. He subsequently underwent an excisional biopsy, where histological analysis determined that the lateral neck mass was a venous subtype angioleiomyoma. To the best of our knowledge, this is only the third reported case of an angioleiomyoma in the supraclavicular fossa. Although supraclavicular masses are typically synonymous with malignancy, this case report highlights that angioleiomyoma should be considered as a differential diagnosis when investigating patients with a lateral neck lump.

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Infected Thyroglossal Duct Cyst – A Diagnostic Dilemma

Journal of Evolution of Medical and Dental Sciences ◽

10.14260/jemds/2021/418 ◽

2021 ◽

Vol 10 (27) ◽

pp. 2044-2047

Author(s):

Ramhari Shankarrao Sathawane ◽

Kshitija Sanjay Bhakte ◽

Prajkta Sathawane Moharkar ◽

Vidyarjan Ashok Sukhadeve ◽

Mrunali Gajanan Chincholkar

Keyword(s):

Clinical Diagnosis ◽

Histopathological Examination ◽

Imaging Modality ◽

Neck Mass ◽

Thyroglossal Duct Cyst ◽

Diagnostic Dilemma ◽

Duct Cyst ◽

Thyroglossal Duct ◽

Neck Masses ◽

Cystic Masses

Neck swellings are usually the most visible and noticeable pathologies. These swellings include enlarged lymph nodes, swellings of thyroid gland, congenital / developmental cysts and lipomas.1 Cystic congenital neck masses are usually very well diagnosed in childhood. Congenital cystic masses of the anterior neck include thyroglossal duct cyst (TDC), branchial cleft cyst & cystic hygromas from uncommon pathologies to very rare thymic and bronchogenic cysts.2 Painless and soft or fluctuant nature of neck mass is usually the first clinical presentation in most cases. Ultrasonography (USG) helps to define the size, shape and extent of mass and confirms the cystic nature of lesion, whereas histopathological examination is the gold standard.3 The purpose of this article is to impress upon all that USG is an adjuvant imaging modality which helps in diagnosing cystic nature of the neck lesions. But most of the time, it cannot differentiate between dermoid cyst and thyroglossal cyst. The present case of infected thyroglossal duct cyst was reported to have diagnostic dilemma between clinical diagnosis and sonographic diagnosis. Histopathological examination confirmed the clinical diagnosis of Infected TDC.

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Bilateral sternocleidomastoid tumor of infancy: a rare diagnostic dilemma

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20202799 ◽

2020 ◽

Vol 6 (7) ◽

pp. 1377

Author(s):

Sachin Goel ◽

Neha Jain ◽

Ekta Narang ◽

Suparna Roy

Keyword(s):

Differential Diagnosis ◽

Unusual Case ◽

Medical Literature ◽

Neonatal Period ◽

Neck Mass ◽

Diagnostic Dilemma ◽

Common Cause ◽

Rare Finding ◽

Important Differential Diagnosis ◽

Physical Exercises

<p class="abstract">Sternocleidomastoid tumor of infancy (STOI) is a common cause of neck mass in the neonatal period. However, STOIs presenting bilaterally is a rare finding in medical literature. We herein report an unusual case of a bilateral STOI in a five-week infant. The child was given physical therapy which consisted of active and passive physical exercises, warm compresses and massage. Within 10 weeks the swellings reduced considerably in size. Bilateral, firm masses are often confused with lymphadenopathy and are inadvertently treated with antibiotics. Hence, STOI should be kept as an important differential diagnosis for neck mass in the neonatal period.</p>

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Cervical Heterotopic Salivary Gland Neoplasms: A Diagnostic Dilemma

Otolaryngology ◽

10.1177/019459988209000206 ◽

1982 ◽

Vol 90 (2) ◽

pp. 178-181 ◽

Cited By ~ 22

Author(s):

Col Joan T. Zajtchuk ◽

Cpt Carl A. Patow ◽

Capt Vincent J. Hyams

Keyword(s):

Salivary Gland ◽

Case Reports ◽

Armed Forces ◽

Neck Mass ◽

Salivary Gland Neoplasms ◽

Diagnostic Dilemma ◽

Cervical Lymph Nodes ◽

Primary Tumors ◽

Neck Masses

Salivary gland neoplasms found within cervical lymph nodes and occurring as neck masses probably represent primary tumors of heterotopic salivary gland tissue. Five new cases of cervical heterotopic salivary gland neoplasms having appropriate clinical follow-up are added to the literature from ten case reports reviewed at the Armed Forces Institute of Pathology from 1956 to 1980. The rarity of these tumors precludes a definitive statement regarding the treatment of this primary tumor of the neck. The most appropriate follow-up may be long-term serial clinical evaluations of the head and neck after excision of the neck mass.

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