scholarly journals Nodular Fasciitis: A Tumor with Misnomer!

2020 ◽  
Vol 5 (6) ◽  
Keyword(s):  
Soft Tissue ◽  
Benign Tumor ◽  
Clinical Presentation ◽  
Malignant Lesion ◽  
Benign Neoplasm ◽  
Surgical Excision ◽  
Needle Aspiration ◽  
Nodular Fasciitis ◽  
Reactive Process ◽  
Complete Surgical Excision

Nodular fasciitis is a peculiar a tumor in its clinical presentation and cytological appearance, owing to its similarity with soft tissue sarcoma. It is a rare benign neoplasm most commonly occurring in the upper extremity. Meanwhile it is selflimiting reactive process mimicking malignant lesion composed of Fibroblasts and Myoblasts. Here we are reporting two cases in the hand, with varied clinical presentation, were treated with complete surgical excision and pathologically confirmed to be Nodular Fasciitis. The term Nodular Fasciitis although pathologically is indicative of an inflammatory process, clinically it seems to be misleading since “Fasciitis” usually denotes an acute serious soft tissue infection. As per literature, this benign tumor is often described as pseudo-sarcomatous, yet its title gives no hint of such a concern. After dealing with the presented cases and the literature review it is evident that, diagnosing this specific lesion on basis of clinical picture, MRI or fine needle aspiration is very unlikely. Most cases will end up having surgical excision due to its frequently alarming presentation.

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 Subungual Glomus Tumor- Clinical Presentation And Treatment

2014 ◽  
Vol 3 (2) ◽  
pp. 45-48 ◽  
Author(s):  
Shyamal Chandra Debnath ◽  
Suman Kumar Roy ◽  
RR Kairy
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Tumor ◽  
Clinical Presentation ◽  
Glomus Tumor ◽  
Rare Condition ◽  
Surgical Excision ◽  
Tissue Mass ◽  
Delay In Diagnosis ◽  
Nail Deformity

Glomus tumor is a rare condition and constitutes only 1 % of all soft tissue tumor of body. Glomus tumor is familiar for its unusual presentation and long standing symptoms due to delay in diagnosis. Authors have presented the clinical behavior and treatment of 7 patients with subungual soft tissue mass. Following surgical excision, all patients cured of symptoms, at the end of follow up, no recurrence occurred; post operative nail deformity was insignificant. DOI: http://dx.doi.org/10.3329/bdjps.v3i2.18250 Bangladesh Journal of Plastic Surgery July 2012, 3(2): 45-48

scholarly journals Retroperitoneal pelvic schwannoma in pregnancy: a case report

2017 ◽  
Vol 6 (8) ◽  
pp. 3689 ◽  
Author(s):  
Nithya J. ◽  
Banumathy M. ◽  
Radha A.
Keyword(s):  
Spindle Cell ◽  
Surgical Excision ◽  
Needle Aspiration ◽  
Nerve Sheath Tumor ◽  
Ct Guided ◽  
Spindle Cell Neoplasm ◽  
Complete Surgical Excision ◽  
S 100 ◽  
Needle Aspiration Cytology ◽  
In Pregnancy

Solitary nerve sheath tumor such as Benign schwannomas arising in the pelvic retro peritoneum is infrequently reported. Retroperitoneal location accounts for 0.3-3.2% of primary schwannomas. We report a case of benign retroperitoneal pelvic schwannoma in pregnancy that was incidentally diagnosed when it presented with Preterm premature rupture of membranes and mechanical obstruction for labour. She underwent caesarean section and delivered a healthy baby. She was evaluated in the postoperative period by computerized tomography (CT) imaging studies and CT guided fine needle aspiration cytology (FNAC) was not diagnostic. Complete surgical excision of the tumor was achieved in the postpartum period. The adjacent vascular and urinary channels sustained no injuries and she had no neurologic deficit. Histology revealed spindle cell neoplasm composed of interlacing fascicles and sheets of spindle cell with focal areas of nuclear palisading and thick walled blood vessels. Immunohistochemistry was positive for S 100 suggesting schwannoma. Retroperitoneal location of schwannomas is rare and surgery is curative. Prognosis is good, since recurrence is rare. 

Myofibroma of the Gingiva: Report of a Case

2010 ◽  
Vol 34 (3) ◽  
pp. 253-257 ◽  
Author(s):  
Banu Özveri Koyuncu ◽  
Mert Zeytinoğlu ◽  
Taha Ünal ◽  
Bülent Zeytinoğlu
Keyword(s):  
Benign Tumor ◽  
Smooth Muscle Actin ◽  
Correct Diagnosis ◽  
Benign Neoplasm ◽  
Surgical Excision ◽  
Solitary Lesion ◽  
Immunohistochemical Markers ◽  
Mesenchymal Neoplasm ◽  
S 100 ◽  
Histopathologic Evaluation

Myofibroma is a benign mesenchymal neoplasm composed of myofibroblasts which has been described with different synonyms since the first report in 1951. It occurs most commonly as a solitary lesion of soft tissue,skin, or bone in infancy. The prognosis of oral myofibromas is excellent, and surgical excision is curative. Recurrence is rare. Awareness and recognition of this benign tumor is important to establish the correct diagnosis and avoid morbidity of unnecessary aggressive therapy. This report describes a myofibroma of the gingiva in a 14 year old girl and is reported together with the conventional histologic, and immunohistochemical findings. The tumor showed rapid increase in size and clinical features suggestive of malignancy. However, on histopathologic evaluation it was diagnosed as a benign neoplasm, and this diagnosis was supported by immunohistochemical markers. The spindle cells were immunopositive for smooth muscle actin,and vimentin but were negative for desmin and S-100 protein. The patient was treated with surgical excision,and is followed-up for 33 months without any signs of recurrence.

scholarly journals Nodular fasciitis of the parotid gland engulfing the facial nerve: a conservative approach

2019 ◽  
Vol 12 (10) ◽  
pp. e231203
Author(s):  
Stephen Bennett ◽  
Kristian Hutson ◽  
Olakunle Ajayi ◽  
Andreas Hilger
Keyword(s):  
Parotid Gland ◽  
Facial Nerve ◽  
Benign Lesion ◽  
Surgical Excision ◽  
Needle Aspiration ◽  
Nodular Fasciitis ◽  
Conservative Approach ◽  
Complete Excision ◽  
Diagnostic Uncertainty ◽  
Accepted Practice

Nodular fasciitis (NF) is a rapidly growing benign lesion rarely reported in the parotid gland. It shares cytological features with other benign and malignant parotid neoplasms and may be difficult to diagnose based on fine needle aspiration cytology alone. Given this diagnostic conundrum, surgical excision for histology is recommended to facilitate definitive diagnosis. A case with significant involvement of the facial nerve is described, which has not previously been reported in the literature. Despite features of potential malignancy, the decision was taken to biopsy the lesion and not proceed to complete excision in an attempt to reduce the risk of facial nerve injury. Expert opinion later diagnosed NF. Contrary to accepted practice, where diagnostic uncertainty remains around the malignant potential of a lesion, risks and benefits of complete excision versus a conservative approach should be carefully weighed especially when the facial nerve is involved and NF is a possible diagnosis.

scholarly journals A 15-year mystery resolved: a large bone-boring glomus tumor mistaken as dermatitis

2020 ◽  
Vol 2020 (2) ◽  
Author(s):  
Sarah Bouayyad ◽  
Mohamed Abdelaty ◽  
Anuj Mishra
Keyword(s):  
Glomus Tumor ◽  
Benign Neoplasm ◽  
Surgical Excision ◽  
Clinical Tests ◽  
Cold Intolerance ◽  
X Ray ◽  
Complete Surgical Excision ◽  
Large Bone ◽  
Paroxysmal Pain

Abstract Glomus tumor (GT) is a rare, benign neoplasm of the glomus apparatus. Being most common in the subungual region, it often misdiagnosed with dermatological conditions. Severe tenderness, paroxysmal pain and cold intolerance symptomatically denote GT. Clinical tests such as Love’s pin test and Hildreth’s test assist in diagnosing the disease. X-ray, ultrasonography and magnetic resonance imaging can confirm the severity of the lesion. Complete surgical excision is the only treatment available for these subcutaneous nodules. A middle-aged male with a hand pain, who misdiagnosed for dermatitis over 15-year period, has identified as having a large bone-boring GT. Awareness of GT among healthcare professionals is a must to increase the quality of life of patients.

Nodular fasciitis of the head and neck

2005 ◽  
Vol 119 (1) ◽  
pp. 8-11 ◽  
Author(s):  
P Silva ◽  
I A Bruce ◽  
T Malik ◽  
J Homer ◽  
S Banerjee
Keyword(s):  
Clinical Presentation ◽  
Benign Lesion ◽  
Clinical Suspicion ◽  
Deep Fascia ◽  
Nodular Fasciitis ◽  
Reactive Process ◽  
Aggressive Management ◽  
High Mitotic Activity ◽  
Microscopic Features

Nodular fasciitis is an unusual benign reactive process affecting superficial and deep fascia. Its rapid growth, rich cellularity, high mitotic activity and poorly circumscribed nature result in it being easily misdiagnosed as a sarcomatous lesion. Three cases of nodular fasciitis presenting as neck lumps are reported. They were successfully treated with local excision, with no signs of recurrence following two years of follow up. This paper describes the clinical presentation and microscopic features of this rare benign lesion and it emphasizes the need for accurate histopathology and clinical suspicion, if inappropriate aggressive management is to be avoided.

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 Liposarcoma of mesorectum presenting as chronic intestinal obstruction: a rare case

2018 ◽  
Vol 5 (10) ◽  
pp. 3437 ◽  
Author(s):  
Rajesh Goud E. ◽  
Muvva Sri Harsha ◽  
Jakkula Srikanth ◽  
Kanmathareddy Amulya
Keyword(s):  
Soft Tissue ◽  
Local Recurrence ◽  
Rare Case ◽  
Spindle Cell ◽  
Surgical Excision ◽  
Clear Cut ◽  
Complete Surgical Excision ◽  
Neoplastic Lesions ◽  
Cell Variant ◽  
Well Differentiated

The term ‘liposarcoma’ refers to a spectrum of neoplastic lesions that can be benign to malignant and likely to recur or metastasize. Liposarcoma is a common soft tissue sarcoma found in adults and occurs mostly in extremities especially thigh followed by retroperitoneum. Here we present a case of spindle cell variant of well differentiated liposarcoma of mesorectum and underwent Anterior resection for the same. The treatment of choice for liposarcomas of retroperitoneum remains debatable and there are no clear-cut guidelines available regarding the same. However, considering the higher rates of local recurrence we advise a complete surgical excision following anatomical principles.

scholarly journals Nasolabial hamartoma: a rare case report

2020 ◽  
Vol 6 (7) ◽  
pp. 1397
Author(s):  
D. Senthamarai Kannan ◽  
G. Soundara Rajan ◽  
Veerasigamani Narendrakumar ◽  
V. K. Sathiya
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Rare Case ◽  
Surgical Excision ◽  
The Body ◽  
Nasolabial Fold ◽  
Tissue Development ◽  
Inborn Errors ◽  
Complete Surgical Excision ◽  
Rare Case Report

<p class="abstract">Nasolabial cysts are rare, nonodontogenic soft tissue developmental cysts occur in the maxillary lip and nasal alar regions. Patients usually presents with an asymptomatic soft swelling with obliteration of the nasolabial fold. Due to it's origin from entrapped epithelium in an embryonic fusion plane developmentally, this cyst is considered to be a Hamartoma. Hamartomas are non-neoplastic malformations, or inborn errors of tissue development. They are characterized by an abnormal mixture of tissues indigenous to that area of the body. Complete surgical excision is the accepted method of treatment. This report aimed to present a case of nasolabial cyst hamartoma, which is rare in presentation.</p>

Sign in / Sign up

Export Citation Format

Share Document