COBLATION ASSISTED CORDECTOMY FOR
VERRUCOUS LESION OF BILATERAL VOCAL CORDS

ABSTRACT Verrucous lesions of vocal cord are irregular whitish lesion with papillomatous surface. In head and neck region, it commonly affects oral cavity and larynx. Laryngeal lesions cause hoarseness and breathing difficulty. Biopsy of the lesion is essential to look for malignancy. Early lesions are amenable for endoscopic resection. Endoscopic resection can be done with microlaryngeal instruments or using CO2 laser/coblator for precise resection. Here we discuss the role of coblator in endoscopic resection of verrucous lesion of vocal cords. KEYWORDS Coblation, Verrucous lesion of vocal cords, verrucous carcinoma

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Imaging in Malignancy of the Oral Cavity and Role of PET CT in Squamous Cell Carcinoma of Head and Neck Region

Contemporary Oral Oncology ◽

10.1007/978-3-319-14917-2_2 ◽

2016 ◽

pp. 23-77

Author(s):

Venkatraman Bhat ◽

H. V. Sunil

Keyword(s):

Squamous Cell Carcinoma ◽

Oral Cavity ◽

Cell Carcinoma ◽

Head And Neck ◽

Squamous Cell ◽

Neck Region ◽

Head And Neck Region ◽

Pet Ct

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Synchronous primary cancers in the head and neck region and upper aero digestive tract: Role of triple endoscopy

Indian Journal of Cancer ◽

10.4103/0019-509x.175560 ◽

2015 ◽

Vol 52 (1) ◽

pp. 53 ◽

Cited By ~ 5

Author(s):

M Krishnatreya ◽

T Rahman ◽

AC Kataki ◽

K Lahkar

Keyword(s):

Head And Neck ◽

Digestive Tract ◽

Neck Region ◽

Head And Neck Region

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Rhabdomyosarcoma of the Oral Cavity: A Case Report

European Journal of Dentistry ◽

10.1055/s-0039-1698902 ◽

2011 ◽

Vol 05 (03) ◽

pp. 340-343 ◽

Cited By ~ 10

Author(s):

Ozkan Miloglu ◽

Sare Sipal Altas ◽

Mustafa Cemil Buyukkurt ◽

Burak Erdemci ◽

Oguzhan Altun

Keyword(s):

Skeletal Muscle ◽

Case Report ◽

Soft Tissue ◽

Oral Cavity ◽

Head And Neck ◽

Soft Tissues ◽

Neck Region ◽

Childhood And Adolescence ◽

Head And Neck Region ◽

The Common

ABSTRACTRhabdomyosarcoma (RMS), a tumor of skeletal muscle origin, is the most common soft tissue sarcoma encountered in childhood and adolescence. The common sites of occurrence are the head and neck region, genitourinary tract, retroperitonium, and, to a lesser extent, the extremities. In the head and neck region, the most commonly affected sites are the orbit, paranasal sinuses, soft tissues of the cheek, and the neck. RMS is relatively uncommon in the oral cavity, and the involvement of the jaws is extremely rare. Here, we report a case of oral RMS in a 13-year-old child and describe the clinical, radiological, histopathological, and immunohistochemical findings. (Eur J Dent 2011;5:340-343)

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The role of surgery and radiotherapy in treatment of soft tissue sarcomas of the head and neck region: Review of 30 cases

Journal of Cranio-Maxillofacial Surgery ◽

10.1016/j.jcms.2008.07.007 ◽

2009 ◽

Vol 37 (1) ◽

pp. 42-48 ◽

Cited By ~ 34

Author(s):

Merdan Fayda ◽

Gorkem Aksu ◽

Fulya Yaman Agaoglu ◽

Ahmet Karadeniz ◽

Emin Darendeliler ◽

...

Keyword(s):

Soft Tissue ◽

Head And Neck ◽

Soft Tissue Sarcomas ◽

Neck Region ◽

Head And Neck Region

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The role of immunohistochemistry for diagnosing undifferentiated malignancy in the head and neck region

BIRDEM Medical Journal ◽

10.3329/birdem.v10i1.44760 ◽

2019 ◽

Vol 10 (1) ◽

pp. 48-53

Author(s):

Mohammad Sowkat Hossain ◽

S M Mahbubul Alam ◽

Sk Md Jaynul Islam ◽

Wasim Selimul Haque ◽

Shamoli Yasmin

Keyword(s):

Head And Neck ◽

Soft Tissues ◽

Histopathological Examination ◽

Malignant Neoplasm ◽

Cervical Lymphadenopathy ◽

Neck Region ◽

Histopathological Diagnosis ◽

Female Ratio ◽

Head And Neck Region

Background: Undifferentiated tumours in the head and neck region are not uncommon. They can arise from different sites like in mucosa as well as in salivary glands, soft tissues or lymph nodes. Histopathological examination plays a central role in the diagnosis but difficulties arise with some tumours which are poorlydifferentiated due to their high inter- and intra-observer variability. In those cases, immunohistochemistry has greatly assisted to diagnose the tumours that cannot be accurately identified using routine histopathological procedures. The correct histopathological diagnosis is essential especially in case of malignant tumourwhere subsequent specific therapy is required. The aim of this study was to determine the role of immunohistochemistry for diagnosing undifferentiated malignancy in the head and neck region. Methods: This cross-sectional study was conducted during July 2014 to June 2015. A total of 35 Bangladeshi patient’s specimens of head and neck swelling were collected from two renowned laboratories in Dhaka city.These cases were diagnosed as undifferentiated tumour in histopathological examination.Standard protocol was followed for immunohistochemistry.Then primary immunohistochemical panel which included the markers for Epithelial CK (AE1/AE3),mesenchymal marker (Vimentin) and lymphoid marker (LCA) were used.The cases which were not resolved by primary immunohistochemistry panel, the second panel was applied for further sub classification (Desmin, Chromogranin, CK20, CEA, CD20, CD30, HMB45, NSE). Based on interpretation of immunohistochemical findings final diagnoses were made.Data analysis was performed using the Statistical Package for the Social Sciences for Windows version 22.0 (SPSS, Chicago, Illinois, USA). Results: A total of 35 undifferentiated tumorsof head-neck region were studied.The mean age was 46.3±17.6 years and male to female ratio was 4.8:1. The majority 13 (37.1%) patient had cervical lymphadenopathy, 11 (31.4%) had neck mass and 4(11.4%) had in nasal/sinonasal mass.Regarding histopathologicalcell types, round cell was 21 (60.0%), spindle cell 6 (17.1%), pleomorphic cells 6(17.1%) and epithelioid cells 2(5.7%). In initial histopathological examination, majority 25(71.4%) were undifferentiated malignant neoplasm, 8(22.8%) were metastatic undifferentiated carcinoma, 1(2.9%) was pleomorphic sarcoma and the remaining 1(2.9%) had malignant adnexal tumour. By application of immunohistochemistry, most (33, 94.3%) of the cases were resolved and the two cases remained unresolved. Among the resolved cases majority (15, 45.5%) were lymphoma, 4(12.1%) were metastatic carcinoma, 3(9.1%) were Ewing’s sarcoma and malignant melanoma were found in 3(9.1%) cases. Conclusion: This study supports that the immunohistochemical technique has a fundamental role in the investigation of undifferentiated tumour origin, to determine the correct guidance for treatment and improving the prognosis for head and neck tumour patients. Birdem Med J 2020; 10(1): 48-53

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Cavernous Hemangioma of the Tongue

Case Reports in Dentistry ◽

10.1155/2013/898692 ◽

2013 ◽

Vol 2013 ◽

pp. 1-3 ◽

Cited By ~ 1

Author(s):

Krishna Kripal ◽

Senthil Rajan ◽

Beena Ropak ◽

Ipsita Jayanti

Keyword(s):

Oral Cavity ◽

Head And Neck ◽

Cavernous Hemangioma ◽

Lateral Surface ◽

Benign Tumor ◽

Clinical Importance ◽

Neck Region ◽

Histological Evaluation ◽

Head And Neck Region ◽

Appropriate Treatment

Hemangioma is a benign tumor of dilated blood vessels. It is most commonly seen in the head and neck region and rarely in the oral cavity. Hemangiomas in the oral cavity are always of clinical importance and require appropriate treatment. We report here a case of a 34-year-old female patient with a swelling on the lateral surface of tongue which did not respond to the sclerosing agent and was finally confirmed as cavernous hemangioma on histological evaluation.

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Comparative Study in the Expression of p53, EGFR, TGF-α, and Cyclin D1 in Verrucous Carcinoma, Verrucous Hyperplasia, and Squamous Cell Carcinoma of Head and Neck Region

Applied Immunohistochemistry & Molecular Morphology ◽

10.1097/00129039-200212000-00011 ◽

2002 ◽

Vol 10 (4) ◽

pp. 351-356 ◽

Cited By ~ 18

Author(s):

Maoxin Wu ◽

Thomas C. Putti ◽

Tawfiqul A. Bhuiya

Keyword(s):

Squamous Cell Carcinoma ◽

Comparative Study ◽

Cell Carcinoma ◽

Cyclin D1 ◽

Head And Neck ◽

Squamous Cell ◽

Verrucous Carcinoma ◽

Neck Region ◽

Head And Neck Region ◽

Verrucous Hyperplasia

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Congenital Infantile Fibrosarcoma of the Tongue: Case Report and Review of the Literature

Journal of Cancer Biology and Therapeutics ◽

10.18314/gjct.v2i1.139 ◽

2017 ◽

Vol 2 (1) ◽

Author(s):

Francis Lee ◽

Jennifer Ha ◽

Shyan Vijayasekaran

Keyword(s):

Case Report ◽

Head And Neck ◽

Unusual Case ◽

Neck Region ◽

Complete Resection ◽

Review Of The Literature ◽

Head And Neck Region ◽

Infantile Fibrosarcoma ◽

Neo Adjuvant Chemotherapy

Introduction: Congenital infantile fibrosarcoma is often misdiagnosed. It may be more common than noted in the literature. We present an unusual case of paediatric head and neck fibrosarcoma. Methods: Restrospective case report and literature review. Results: We report the surgical management of a fibrosarcoma of the tongue in an 8-month-old child where neo-adjuvant chemotherapy was unsuccessful. Conclusion: Surgical resection is the mainstay of treatment, in the head and neck region where critical structures are close to the tumour, complete resection with wide margins can be difficult. The role of chemotherapy is yet to be defined.

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Role of sclerotherapy in management of low flow vascular malformations

International Surgery Journal ◽

10.18203/2349-2902.isj20211303 ◽

2021 ◽

Vol 8 (4) ◽

pp. 1234

Author(s):

Manpreet Kaur ◽

Parul Sachdeva ◽

Rajan Syal ◽

Savijot Singh

Keyword(s):

Head And Neck ◽

Vascular Malformations ◽

Neck Region ◽

Low Flow ◽

Vascular Lesions ◽

Surgical Removal ◽

Complete Regression ◽

Head And Neck Region ◽

Life Threatening

Background: Low flow vascular malformations are most common in the head and neck region. Only symptomatic malformations require treatment. Sclerotherapy followed by surgery was considered the gold standard treatment but in the head and neck region, it may produce cosmetic and physiological defects. In the present study, multiple injections of sclerotherapy with 3% sodium tetradecyl sulphate was used for the treatment of low flow vascular malformations.Methods: Twenty cases of low flow vascular malformations of the oral cavity who presented in the outpatient department of ESIC Model Hospital, Ludhiana from 2014-2016 were selected for the study. Only significantly sized (>4 cm) and easily accessible lesions were included. Staged sequential sclerotherapy with 3% STS under strict fluoroscopy control was used as the sole treatment.Results: A total of 20 patients were taken of which, 25% required three sessions, 65% five to six sessions each and 10% required eight sessions each. All patients showed good results with complete regression and no mucosal ulceration.Conclusions: Staged sequential sclerotherapy with 3% STS should be the treatment of choice in low flow vascular lesions involving mucosal and cutaneous structures of head and neck region especially anterior two-thirds of tongue, palate, gingiva, buccal mucosa and lips. Surgical removal may affect critical neurovascular structures and cause cosmetic deformity. So the removal is advisable in life-threatening conditions, lesions requiring general anaesthesia and single sitting removal.

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