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 A rare clinical case: schwannoma of tongue

2019 ◽  
Vol 5 (3) ◽  
pp. 789
Author(s):  
Chandra Veer Singh ◽  
Sheetal Radia ◽  
Saalim Sheikh ◽  
Vijay Haribhakti
Keyword(s):  
Head And Neck ◽  
Rare Case ◽  
Neck Region ◽  
Surgical Excision ◽  
Imaging Studies ◽  
Head And Neck Tumours ◽  
Head And Neck Region ◽  
Complete Surgical Excision ◽  
Slow Growing ◽  
Rule Out

<p class="abstract">Schwannoma are slow growing tumours, which can arise from any peripheral nerve. 10% of schwannomas that occur in the head and neck region mostly originate from the vagus or sympathetic nervous system. Extracranial schwannomas in the head and neck region are rare neoplasm. Intraoral schwannoma are only 1% of the all head and neck tumours. Diagnosis is established by imaging studies such as magnetic resonance imaging or computed tomography, while FNAC is used to rule out other conditions. We report a rare case of lingual schwannomas generally present as a painless lump schwannoma of the tongue in a 27-year-old male complaining of asymptomatic swelling over a posterolateral surface of the tongue, treated by complete surgical excision. The diagnosis was established on the basis of clinical, histopathological, and immunohistochemical examination. We report a rare case of schwannoma over the posterolateral surface of tongue. Prognosis is good for the patient when this condition is correctly diagnosed as the condition rarely recurs after complete resection.</p>

scholarly journals Asymptomatic nodule on face: Dermoscopic and histopathological clue for diagnosis

2020 ◽  
Vol 17 (1) ◽  
pp. 63-65
Author(s):  
Anisha Joshi ◽  
Deeptara Pathak Thapa
Keyword(s):  
Head And Neck ◽  
Peripheral Nerves ◽  
Neck Region ◽  
Surgical Excision ◽  
Benign Tumors ◽  
Complete Excision ◽  
Head And Neck Region ◽  
The Common ◽  
Slow Growing ◽  
Rare Diagnosis

Schwannomas/ neurilemmomas are benign tumors of nerve sheath arising from Schwann cells that form myelin sheath around peripheral nerves. They are usually solitary, slow growing and encapsulated lesions. Head and neck are the common sites. We report a case of a 38 years old Nepalese female who had presented with a solitary asymptomatic, slow growing nodule on the left side of the chin for the last three years. Dermoscopy of the lesion revealed arborizing vessels with brownish pigmentation overlying a whitish to pinkish background. Complete excision of the lesion was performed. Histopathological evaluation of the lesion revealed schwannoma. Though schwannomas are a rare diagnosis, they should be considered as a differential diagnosis of any unilateral, asymptomatic, slow growing nodule in the head and neck region. Dermoscopy is a useful tool which helps to differentiate schwannoma from other lesions. Histopathology is the gold standard for diagnosis and the treatment of choice is surgical excision.  

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 Castleman’s Disease Presenting as a Parotid Mass in the Pediatric Population: A Report of 2 Cases

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Sean W. Delaney ◽  
Shengmei Zhou ◽  
Dennis Maceri
Keyword(s):  
Pediatric Population ◽  
Castleman’S Disease ◽  
Neck Region ◽  
Surgical Excision ◽  
Needle Aspiration ◽  
Castleman's Disease ◽  
Pathologic Examination ◽  
Diagnostic Challenge ◽  
Angiofollicular Lymph Node Hyperplasia ◽  
Complete Excision

Introduction. Angiofollicular lymph node hyperplasia (Castleman’s disease) is a nonmalignant lymphoproliferative disorder that generally involves the lymph nodes of young adults, most commonly in the mediastinum. Rarely, Castleman’s disease may present in the parotid gland. The disease can be further classified into unicentric or multicentric forms, with considerable differences in presentation, treatment, and prognosis.Case(s). We present cases of two pediatric patients, aged 7 and 11, who both presented with a slow-growing, painless parotid mass. In each case, the mass was excised via a superficial parotidectomy and the diagnosis made postoperatively upon further pathologic examination. At 6 months of follow-up, both had fully intact facial nerve function and no evidence of recurrence.Discussion. Castleman’s disease presents a diagnostic challenge in the head and neck region, as radiographic characteristics and fine needle aspiration results are often inconclusive. Definitive diagnosis requires surgical excision for pathologic examination. The unicentric form generally presents as a painless mass and can be successfully treated with complete excision. The multicentric form is associated with constitutional symptoms and its treatment remains controversial.Conclusion. Although rare, clinicians should be aware of both forms of Castleman’s disease when creating a differential diagnosis for parotid masses.

scholarly journals Cervicofacial Actinomycosis in the Pediatric Population: Presentation and Management

2021 ◽  
pp. 000348942110212
Author(s):  
Karan Gandhi ◽  
Benjamin D. van der Woerd ◽  
M. Elise Graham ◽  
Michelle Barton ◽  
Julie E. Strychowsky
Keyword(s):  
Antibiotic Therapy ◽  
Head And Neck ◽  
Pediatric Population ◽  
Neck Region ◽  
Surgical Excision ◽  
Neck Infection ◽  
Congenital Lesions ◽  
Complete Surgical Excision ◽  
Secondary Infections ◽  
Sinus Drainage

Background: Infection caused by Actinomyces species is a rare cause of head and neck infection in children. This chronic cervicofacial infection can present with localized swelling, abscess formation, sinus drainage and can be complicated by osteomyelitis. Methods: Presented are 2 pediatric cases of secondary actinomycosis in the context of congenital lesions: 1 patient with a previously excised preauricular sinus and another with a persistent sublingual mass. A comprehensive literature search was conducted for reported cases of pediatric actinomycosis in the cervicofacial region. Results: Both cases presented were successfully treated with a combination of complete surgical excision of the lesions and prolonged antibiotic therapy. Thirty-four pediatric cases of cervicofacial actinomycosis are reviewed, 2 presented herein, and 32 from the published literature. There was equal gender distribution and the median age was 7.5 years. The most common site for infection was the submandibular area. Four (12%) of cases arose in pre-existing congenital lesions. Most patients were treated with penicillin-based antibiotics for a median duration of 6 months following surgical excision or debridement. Conclusions: Actinomycosis is a rare infection of the cervicofacial region; secondary infections arising from congenital lesions of the head and neck are even more rare. A previously excised pre-auricular sinus and a sublingual dermoid cyst are not previously reported sites of infection. Actinomycosis should be suspected in chronically draining sinuses of the head and neck region and confirmed through anaerobic culture. Osteomyelitis is a potential complication and magnetic resonance (MR) imaging is warranted. Long-term antibiotic therapy with a penicillin-based antibiotic and surgical excision should be considered.

scholarly journals Soft Tissue Fibrosarcoma Neck Mimicking as Thyroid Swelling

2014 ◽  
Vol 6 (1) ◽  
pp. 50-52
Author(s):  
SS Bist ◽  
Sarita Mishra ◽  
Vinish Agrawal ◽  
Meena Harsh
Keyword(s):  
Soft Tissue ◽  
Histopathological Examination ◽  
Neck Region ◽  
Surgical Excision ◽  
Needle Aspiration ◽  
Left Lobe ◽  
Spindle Cell Sarcoma ◽  
Complete Surgical Excision ◽  
Patient Reported ◽  
Thyroid Swelling

ABSTRACT Fibrosarcomas are relatively uncommon tumors, commonly arise in the extremities; approximately 10% occur in the head and neck region, most commonly in the sinonasal tract and neck. We hereby report a case of fibrosarcoma in neck clinically mimicking as a thyroid swelling in a 14 years old boy. The patient reported with difficulty in breathing along with stridor at the time of presentation so endotracheal intubation was done to secure the airway. Subsequent ultrasonography guided fine needle aspiration cytology (FNAC) showed atypical cells suggestive of mesenchymal origin. Contrast-enhanced computed tomography scan showed a large heterogeneously enhancing mass lesion in right side of neck with retrosternal extension, while the right lobe of thyroid was displaced superiorly and left lobe was normal. We performed a complete surgical excision of the tumor and histopathological examination showed intermediate to high grade spindle cell sarcoma, favoring fibrosarcoma. Postoperative period was uneventful and the patient was referred to oncology unit for radiotherapy and chemotherapy, but the patient succumbed to the disease 5 weeks after surgery. How to cite this article Bist SS, Mishra S, Varshney S, Agrawal V, Harsh M. Soft Tissue Fibrosarcoma Neck Mimicking as Thyroid Swelling. Int J Otorhinolaryngol Clin 2014; 6(1):50-52.

scholarly journals Schwannoma Base of Tongue: Report of a Rare Case and Review of Literature

2013 ◽  
Vol 4 (3) ◽  
pp. 133-135 ◽  
Author(s):  
Hitendra Prakash Singh ◽  
SP Agarwal ◽  
Nidhi Verma ◽  
Madhukar Vashistha ◽  
Amit Chaddha ◽  
...  
Keyword(s):  
Rare Case ◽  
Neck Region ◽  
Surgical Excision ◽  
Needle Aspiration ◽  
Review Of Literature ◽  
Complete Excision ◽  
Base Of Tongue ◽  
Magnetic Resonance Imaging Mri ◽  
Needle Aspiration Cytology ◽  
Slow Growing

ABSTRACT Schwannomas or neurilemmomas are benign, slow growing, usually solitary and encapsulated tumor, originating from Schwann cells of the nerve sheath. Extracranially, 25% of all schwannomas are located in the head and neck region. The intraoral lesions show a predilection for the tongue, followed by the palate, buccal mucosa, lips and gingiva respectively. Among these, base of tongue schwannoma are extremely rare. Schwannomas involving the tongue base remain asymptomatic unless they attain appreciable size. Diagnostic investigations include ultrasound scanning, computed tomography, magnetic resonance imaging (MRI), and fine-needle aspiration cytology. MRI is superior to other imaging modalities for the examination of the base of the tongue. The definitive diagnosis is based on histopathology. Surgical excision or enucleation with preserve nerve function is the treatment of choice for this rare tumor. The most common approach for complete excision is transoral route for base of tongue schwannoma. Authors report a case of base of tongue schwannoma which was treated with surgery by transoral route. How to cite this article Singh HP, Kumar S, Verma N, Vashistha M, Chaddha A, Agarwal SP, Babu S. Schwannoma Base of Tongue: Report of a Rare Case and Review of Literature. Int J Head Neck Surg 2013;4(3):133-135.

Schwannoma of Oropharynx: A Rare Presentation

2013 ◽  
Vol 5 (2) ◽  
pp. 14-16
Author(s):  
Hemantkumar Onkar Nemade ◽  
Subbalaxmi Atmaram Jaiswal ◽  
Vidhyadhar Rudrappa Borade
Keyword(s):  
Neck Region ◽  
Cost Effective ◽  
Surgical Excision ◽  
Benign Tumors ◽  
Rare Presentation ◽  
Myelinated Nerve ◽  
Complete Excision ◽  
Head And Neck Region ◽  
Complete Surgical Excision ◽  
Slow Growing

ABSTRACT Schwannomas are slow growing, encapsulated, solitary, benign tumors. They can arise from any myelinated nerve as they are tumors of neural sheath Schwann cells. Schwannoma seen in head and neck region are most commonly found in tongue, floor of mouth but rarely in oropharynx and tonsils. They are usually asymptomatic and rarely undergo malignant transformation. Schwannomas are considered radioresistant and recure less frequently after complete excision. Hence, complete surgical excision is treatment of choice. We are presenting a case of elderly female with oropharyngeal schwannoma completely extirpated transorally by dissection method by cold instruments. Due to rarity of presentation the surgical approach to this lesion is not well established. Following surgery the raw area created was well epithelized and patient relieved symptoms without significant morbidity. We conclude that this is a cost-effective and simple approach for management of other similar cases in future.

scholarly journals Cervicothoracic lipoblastoma: three case reports and review of literature

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Alaa Ghallab ◽  
Mohamed Elmahmoud ◽  
Majed Alhadad ◽  
Khalil Albatniji ◽  
Ameen Alsaggaf ◽  
...  
Keyword(s):  
Case Reports ◽  
Neck Region ◽  
Surgical Excision ◽  
Preoperative Imaging ◽  
Complete Excision ◽  
Thoracic Inlet ◽  
Case Presentation ◽  
Excellent Outcome ◽  
Diaphragmatic Eventration ◽  
Complete Surgical Excision

Abstract Background Lipoblastoma is a rare benign mesenchymal tumor of embryonal fat affecting mainly children below 3 years of age. It presents usually as a painless rapidly growing soft lobular mass in the extremities, trunk, and less frequently in the head-neck region. Preoperative imaging is used to assess the extent of disease and aid surgical planning. Complete surgical excision without injury to surrounding vital structures is the treatment of choice. Case presentation We report three interesting lipoblastoma cases: mediastinal lipoblastoma with airway compression and ipsilateral diaphragmatic eventration, neck lipoblastoma with intrathoracic extension, and huge thoracic inlet lipoblastoma with compression of common carotid and Lt subclavian arteries, brachial plexus, and ipsilateral diaphragmatic eventration. Complete excision of lipoblastoma mass was done via neck incision in two cases, and the third case required thoracoscopic excision of intrathoracic remnant 6 months later. All three patients had an excellent outcome. Conclusions Management of cervicothoracic lipoblastoma is a surgical challenge due to the potential for rapid growth and extension to different fascial planes; however, successful excision can be achieved via a neck approach. Complete surgical excision is essential to prevent local recurrence and improve the outcome.

Schwannoma of Oropharynx: A Rare Presentation

2013 ◽  
Vol 5 (2) ◽  
pp. 104-106
Author(s):  
Hemantkumar Onkar Nemade ◽  
Subbalaxmi Atmaram Jaiswal ◽  
Vidhyadhar Rudrappa Borade
Keyword(s):  
Neck Region ◽  
Cost Effective ◽  
Surgical Excision ◽  
Benign Tumors ◽  
Rare Presentation ◽  
Myelinated Nerve ◽  
Complete Excision ◽  
Head And Neck Region ◽  
Complete Surgical Excision ◽  
Slow Growing

ABSTRACT Schwannomas are slow growing, encapsulated, solitary, benign tumors. They can arise from any myelinated nerve as they are tumors of neural sheath Schwann cells. Schwannoma seen in head and neck region are most commonly found in tongue, floor of mouth but rarely in oropharynx and tonsils. They are usually asymptomatic and rarely undergo malignant transformation. Schwannomas are considered radioresistant and recure less frequently after complete excision. Hence, complete surgical excision is treatment of choice. We are presenting a case of elderly female with oropharyngeal schwannoma completely extirpated transorally by dissection method by cold instruments. Due to rarity of presentation the surgical approach to this lesion is not well established. Following surgery the raw area created was well epithelized and patient relieved symptoms without significant morbidity. We conclude that this is a cost-effective and simple approach for management of other similar cases in future. How to cite this article Nemade HO, Jaiswal SA, Borade VR. Schwannoma of Oropharynx: A Rare Presentation. Int J Otorhinolaryngol Clin 2013;5(2):104-106.

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