scholarly journals Solitary Fibrous Tumor of the Larynx and Anterior Neck

2019 ◽  
Vol 34 (1) ◽  
pp. 64-67
Author(s):  
Guinevere S. Pabayos ◽  
Armando M. Chiong
Keyword(s):  
Solitary Fibrous Tumor ◽  
Thyroid Cartilage ◽  
Upper Airway ◽  
Needle Aspiration ◽  
Neck Mass ◽  
Anterior Neck ◽  
Neck Masses ◽  
Airway Opening ◽  
Fibrous Tumor ◽  
The Right

Whether benign or malignant, laryngeal and neck masses may involve the upper airway and obstruct breathing. While surgically-resectable malignancies are generally extirpated with adequate margins of normal tissue, benign lesions are usually excised conservatively. However, even benign masses may behave malignantly, necessitating more aggressive surgical resection. We present one such case.   CASE REPORT   A 35-year-old man from Cotabato City consulted due to difficulty of breathing.  He had a six-year history of progressively enlarging anterior neck mass with intermittent dyspnea, foreign body sensation, progressive dysphagia and hoarseness over the last three months. Physical examination revealed a well-defined, 5 x 6 cm smooth, firm, non-tender anterior neck mass that moved with deglutition.  Rigid endoscopy showed a right supraglottic mass with bulging of the right glottic and subglottic area, with a less than 10% airway opening. (Figure 1A) Both arytenoids were visibly mobile, but glottic closure was impaired. (Figure 1B) Tracheostomy and suspension laryngoscopy with biopsy yielded inconclusive results (fibromuscular tissue) and fine needle aspiration cytology (FNAC) of the anterior neck mass only revealed blood and colloid. Contrast computed tomography of the neck showed a well-marginated, hypodense, thick-walled, heterogeneously enhancing mass in the right laryngeal fossa measuring 2.86 x 1.78 cm with a larger extension anteriorly measuring 4.66 x 2.52 cm.  Effacement of the epiglottis and aryepiglottic fold was noted.  The hyoid and thyroid cartilage were intact, and the thyroid gland was normal.  (Figure 2A, B)   Because of inconclusive histopathological and cytological results, an incision biopsy of the anterior neck mass was performed.  Histopathological evaluation revealed spindle cell mesenchymal proliferation, and immunohistochemical stains showed positive immunoreactivity for CD34, with a weakly positive S-100 and negative SMA, favoring a solitary fibrous tumor.  

scholarly journals A Case of Solitary Fibrous Tumor Presenting as Lower Neck Mass

2021 ◽  
Vol 37 (2) ◽  
pp. 87-90
Author(s):  
Sang Yen Geum ◽  
Jeong Kyu Kim
Keyword(s):  
Solitary Fibrous Tumor ◽  
Malignant Tumors ◽  
Neck Region ◽  
Needle Aspiration ◽  
Neck Mass ◽  
Anatomic Site ◽  
S 100 ◽  
Hypoechoic Mass ◽  
Fibrous Tumor ◽  
Lower Neck

Solitary fibrous tumor (SFT) is rare mesenchymal tumor usually arising from pleura. SFT can be found at all anatomic site in our body but incidence of SFT is much lower in head and neck region especially at lower neck area. We found a case of SFT that presented as a lower neck mass in a 41-year old woman. Ultrasonography showed a 3×1cm sized hypoechoic mass in the intermuscular fat plane of left lower neck, and computed tomography showed a well circumscribed, low-density mass with contrast enhancement. Fine needle aspiration showed no malignant cells with abundant red blood cells, but it was not possible to completely rule out malignant tumors or nodules clinically. Surgery was performed to make a definitive diagnosis and histopathology showed tightly packed, round to fusiform cells with staghorn shaped vessels at microscopic examination. The tumor cell were positive for CD34 but negative for CD31 and S-100 protein.

scholarly journals Malignant Solitary Fibrous Tumor of the Right Cerebellum: A Case Report

2021 ◽  
Vol 13 (1) ◽  
pp. 259-266
Author(s):  
Ye-Tao Zhu ◽  
Yang Liu ◽  
Li-Gang Chen ◽  
Da-Ping Song
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Solitary Fibrous Tumor ◽  
Immunohistochemical Staining ◽  
Biological Behavior ◽  
Resonance Imaging ◽  
Solitary Fibrous Tumors ◽  
The Central Nervous System ◽  
Fibrous Tumor ◽  
The Right

Solitary fibrous tumor is a very rare mesenchymal tumor that occurs mostly in the pleura, and there are few reported cases of a presence in the central nervous system, particularly in the cerebellum. In 2016, the WHO classified solitary fibrous tumors into grade I. In this article, we present a case of malignant solitary fibrous tumor recurring 8 years after surgery in a 63-year-old male. Magnetic resonance imaging showed low to intermediate mixed signal intensity on T1W1. Immunohistochemical staining positivity for Vimentin, CD99, CD34 and Bcl-2, it is consistent with the immunohistochemical characteristics of solitary fibrous tumor. We resected the patient’s tumor, and the patient was followed up for 3 months with no signs of recurrence. Solitary fibrous tumors are very rare in the central nervous system. Immunohistochemical staining positivity for CD34 and Bcl-2 is strongly expressed in most solitary fibrous tumor. Surgical resection is the preferred treatment. Due to the small number of cases, the biological behavior and prognosis of this tumor need to be further explored.

Extrapleural Benign Solitary Fibrous Tumor in the Shoulder of a 9-Year-Old Girl: Case Report and Review of the Literature

2004 ◽  
Vol 7 (6) ◽  
pp. 653-660 ◽  
Author(s):  
Dinesh Rakheja ◽  
Kathleen S. Wilson ◽  
John J. Meehan ◽  
Roger A. Schultz ◽  
Gerhard E. Maale ◽  
...  
Keyword(s):  
Case Report ◽  
Solitary Fibrous Tumor ◽  
Cytogenetic Analysis ◽  
Young Age ◽  
Review Of The Literature ◽  
Unusual Location ◽  
Fibrous Tumor ◽  
The Right

We report a case of a benign solitary fibrous tumor that occurred in the right shoulder of a 9-year-old girl. This case is remarkable due to the unusual location of its occurrence and the young age of the patient. In addition, cytogenetic analysis revealed a karyotype unreported in this neoplasm: 46,XX,der(4)t(4;9)(q31.1;q34), del(9)(p22p24),der(9)t(4;9)(q31.1;q34)ins(9;?)(q34;?) (17 cells)/46,XX (3 cells).

Fine Needle Aspiration Cytology of Gastric Solitary Fibrous Tumor

1998 ◽  
Vol 42 (5) ◽  
pp. 1159-1166 ◽  
Author(s):  
Vinod B. Shidham ◽  
Jeffrey P. Weiss ◽  
Thomas J. Quinn ◽  
Carolyn E. Grotkowski
Keyword(s):  
Solitary Fibrous Tumor ◽  
Fine Needle Aspiration ◽  
Fine Needle Aspiration Cytology ◽  
Needle Aspiration ◽  
Aspiration Cytology ◽  
Fine Needle ◽  
Needle Aspiration Cytology ◽  
Fibrous Tumor

scholarly journals Ulcerative Warthin Tumor: A Case Report and Review of the Literature

2020 ◽  
pp. 014556132095757
Author(s):  
Chuan-Jen Hung ◽  
Bor-Hwang Kang ◽  
Jyh-Seng Wang ◽  
Yaoh-Shiang Lin
Keyword(s):  
Fine Needle Aspiration ◽  
Needle Aspiration ◽  
Neck Mass ◽  
Histopathological Diagnosis ◽  
Warthin Tumor ◽  
Superficial Parotidectomy ◽  
Fine Needle ◽  
One Year ◽  
The Right ◽  
Surrounding Skin

Warthin tumor with ulceration of the surrounding skin is extremely rare, making it difficult to differentiate from parotid cancer in the clinical setting. We report a 65-year-old man with a Warthin tumor in the right parotid gland that had ulceration of the overlying skin. The patient presented with right upper neck mass 2 years ago. Ultrasound and fine needle aspiration were done, and Warthin tumor was suspected. One year later, the mass was enlarged with ulceration of the skin. Superficial parotidectomy with fusiform excision of the skin was performed, and histopathological diagnosis revealed a Warthin tumor with inflammatory change. We proposed that this unique manifestation may have been induced by fine needle aspiration, enlargement of the tumor, and ischemic changes secondary to pulmonary arteriovenous malformations.

Paediatric neck masses – a diagnostic dilemma

1997 ◽  
Vol 111 (6) ◽  
pp. 541-545 ◽  
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.

Calcifying Fibrous Pseudotumor of the Neck: Diagnostic Challenges of a Rare Benign Lesion

2005 ◽  
Vol 71 (12) ◽  
pp. 1051-1054 ◽  
Author(s):  
Evan B. Goldstein ◽  
Richard H. Savel ◽  
Filiz Sen ◽  
Peter Shamamian
Keyword(s):  
Benign Lesion ◽  
Needle Aspiration ◽  
Neck Mass ◽  
Surgical Removal ◽  
Neck Masses ◽  
Collagenous Tissue ◽  
Supraclavicular Fossa ◽  
Left Neck ◽  
Rare Lesion ◽  
Calcifying Fibrous Pseudotumor

Neck masses, frequently encountered by physicians, comprise a vast range of diagnoses, with malignancy being the greatest concern. Calcifying fibrous pseudotumor (CFP) is a rare lesion with unknown pathogenesis, characterized pathologically by a predominance of abundant hyalinized collagenous tissue with focal lymphoplasmacytic infiltrate and psammomatous or dystrophic calcifications. We present the case of a 29-year-old woman who presented with a 4-cm left neck mass, accompanied by constitutional symptoms of vague weakness and lethargy. After the lesion failed to respond to a course of antibiotic therapy, fine-needle aspiration was performed, the pathology of which was indeterminate. The concern was that the lesion was a lymphoproliferative disorder–further workup was performed. CT of the chest, abdomen, and pelvis revealed no evidence of adenopathy or neoplasms. Subsequently, an incisional biopsy was performed, suggesting a diagnosis of CFP. Magnetic resonance imaging with contrast, performed to delineate the anatomy, revealed the lesion in the left neck, deep to the left clavicle, that extended superiorly into the supraclavicular fossa. Complete surgical removal of the lesion was successfully performed, with immunophenotyping confirming the initial diagnosis of CFP. We present a case report of cervical CFP, discuss the approach to neck masses, and review the recent literature on this rare, benign entity.

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