scholarly journals Head-Neck Schwannoma: Presenting as a Huge Posterior Neck Swelling

2020 ◽  
Vol 5 (7) ◽  
pp. 635-637
Author(s):  
Islam MA ◽  
Chowdhury NH ◽  
Mohammad T ◽  
Mamun TB ◽  
Khan SR Rahman ASML ◽  
...  
Keyword(s):  
Needle Aspiration ◽  
Resonance Imaging ◽  
Open Biopsy ◽  
Aspiration Cytology ◽  
Neck Masses ◽  
Posterior Neck ◽  
Needle Aspiration Cytology ◽  
Slow Growing ◽  
Nerve Of Origin ◽  
Head Neck

Schwannomas are benign slow growing tumors that arise from the Schwann cells of nerve, also called neurilemmoma. Head and Neck schwannomas usually present as solitary with well demarcated lesions. These tumors usually remain asymptomatic but present as slowly enlarging neck masses. Its origin is only determined during surgical procedure along the course and distribution of the nerve. Preoperative diagnosis is usually made by physical examination and aided by ultrasonography, magnetic resonance imaging or computed tomography and fine needle aspiration cytology but open biopsy is not recommended. The main stay of treatment is complete intracapsular excision with preserving the nerve of origin.

scholarly journals Schwannomas of ear, nose, throat and neck

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Nilam U. Sathe ◽  
Sheetal Shelke ◽  
Ankur Pareek ◽  
Kamini Chavan
Keyword(s):  
Head And Neck ◽  
Management Strategy ◽  
Cranial Nerves ◽  
Needle Aspiration ◽  
Aspiration Cytology ◽  
Neck Masses ◽  
Needle Aspiration Cytology ◽  
Nerve Of Origin ◽  
Tomography Scan ◽  
Nose And Throat

Schwannoma is a benign tumour of nerve sheath origin with latent malignant potential. All cranial nerves can give rise to schwannoma except for olfactory and optic nerves, which are devoid of Schwann cell. Schwanommas are usually asymptomatic and present late owing to compression of nerve of origin. We present our study of 19 cases of schwannoma arising from unusual sites in head and neck, having varied presentation and the challenges faced in management of these cases. These cases presented in detail to the department of Ear, Nose and Throat, KEM Hospital, and were thoroughly evaluated clinically and radiologically to formulate a management strategy. Schwannoma of the head and neck is a rare entity but should be considered as differential diagnosis in unilateral nasal mass cases, palatal masses, anterior and lateral neck masses. Nerve of origin may not always be clear preoperatively but the possibility of postoperative loss of nerve function should be kept in mind. Radiological investigations like computed tomography scan and magnetic resonance imaging play a pivotal role in management. In case of nonvascular neck tumours, fine needle aspiration cytology is crucial but has low accuracy in the diagnosis of neural tumors. Histopathology of excised tumour remains the gold standard in diagnosis.

scholarly journals Clinicopathological features of pilomatricoma cases: Analysis of 21 cases

2014 ◽  
Vol 4 (7) ◽  
pp. 530-533
Author(s):  
D Ghartimagar ◽  
A Ghosh ◽  
K Gautam ◽  
S Thapa ◽  
SR Shrestha ◽  
...  
Keyword(s):  
Hair Follicle ◽  
Needle Aspiration ◽  
Common Finding ◽  
Clinical Impression ◽  
Aspiration Cytology ◽  
Female Ratio ◽  
Male Female Ratio ◽  
Needle Aspiration Cytology ◽  
Age Range ◽  
Slow Growing

Background: Pilomatricoma is a slow-growing, asymptomatic tumour originating from outer sheath cells of hair follicle. In this study, we describe the clinical presentation and histopathological features of pilomatricoma. Materials and Methods: This was a hospital based retrospective study carried out in all patients who were diagnosed as pilomatricoma over a period of January 2001 to December 2013. The study was done in department of pathology, Manipal Teaching Hospital, Nepal. Results: A total of 21 cases of pilomatricoma were reported with age range of 9-53 years (mean age 23.7) and male female ratio of 1:1.1. The most common site of occurrence was neck and preauricular region. The size of the tumour ranged from 0.3 to 4.7cm with a mean of 1.2cm. Multiple occurrences were seen in 3 patients and ossifying pilomarticoma was seen in 4 cases. Conclusion: Pilomatricoma is a benign skin neoplasm of hair follicle matrix cells. Calcification is a common finding while dystrophic ossification also can occur in the tumour. Histopathology gives the definite diagnosis as fine needle aspiration cytology and clinical impression may be misleading. DOI: http://dx.doi.org/10.3126/jpn.v4i7.10293 Journal of Pathology of Nepal (2014) Vol. 4, 530-533

scholarly journals Diagnosis of High-Grade Osteosarcoma by Radiology and Cytology: A Retrospective Study of 52 Cases

Sarcoma ◽  
2004 ◽  
Vol 8 (1) ◽  
pp. 31-36 ◽  
Author(s):  
Veli Söderlund ◽  
Lambert Skoog ◽  
Krishnan K. Unni ◽  
Franco Bertoni ◽  
Otte Brosjö ◽  
...  
Keyword(s):  
Diagnostic Value ◽  
Needle Aspiration ◽  
Consecutive Series ◽  
High Grade ◽  
Open Biopsy ◽  
Aspiration Cytology ◽  
Radiological Features ◽  
Diagnostic Difficulties ◽  
Needle Aspiration Cytology ◽  
High Grade Osteosarcoma

The diagnostic value of combined radiology and fine needle aspiration cytology (FNAC) was retrospectively assessed in a consecutive series of 52 patients with high-grade osteosarcoma. The series was divided into typical and atypical osteosarcomas according to radiological features and site. Thirty-two of 33 radiologically typical osteosarcoma cases were correctly diagnosed by cytology; one lesion was diagnosed as sarcoma NOS. Nineteen osteosarcoma cases were radiographically atypical. Six of these were diagnosed as osteosarcoma and another six as sarcoma NOS. In three cases another type of sarcoma was suggested. One case was falsely classified as benign. FNAC of three cases were non-diagnostic. Overall, the diagnostic difficulties pertained to the radiologically atypical cases. Notably, four of these also posed considerable difficulties in the histopathological assessment prompting external consultation. Our study suggests that open biopsy can be obviated in high-grade osteosarcomas exhibiting typical radiological features, i.e., in two-thirds.

Biochemical Status and Cytopathological Profile of Patients Presenting with Multinodular Goiter

1970 ◽  
Vol 12 (1) ◽  
pp. 26-29
Author(s):  
Mufti Munsurar Rahman
Keyword(s):  
Multinodular Goiter ◽  
Diagnostic Procedures ◽  
Needle Aspiration ◽  
Open Biopsy ◽  
Aspiration Cytology ◽  
Biochemical Status ◽  
Serum T3 ◽  
Risk Of Malignancy ◽  
Needle Aspiration Cytology ◽  
Work Up

Background: Objective of the study was to evaluate the biochemical status and cytopathological profile in multinodular goiter. Materials and Methods: 50 patients with multinodular goiter were selected consecutively. Multinodularity was confirmed by ultrasonography and scintiscan of the thyroid gland. Hormonal assays of serum T3, T4 and TSH was done for biochemical status evaluation. Fine needle aspiration cytology (FNAC) was done to evaluate the cytopathological profile of the MNG patients. Results: The patients had a female preponderance with a male to ratio of 5.25:1. Biochemical status evaluation revealed that sixty percent presented with euthyroid features followed by those of hyperthyroidism (16%). The distribution of hypothyroid, subclinical hypo- and hyper- thyroid patients were equal (8% each). Among the clinical and subclinical hyperthyroids there was Jod Basedow. The cytological profile of multinodular goiter showed that two were malignant (found by open biopsy after surgery) and four had suspicious cytology. Conclusion: Though relatively benign, risk of malignancy in multinodular goiter should not be undermined and FNAC should be included in the initial diagnostic procedures during work up of a multinodular goiter. Keyword: Multinodular goiter; Hyperthyroidism; Hypothyroidism; Malignancy; FNAC; Scintigram DOI: 10.3329/jom.v12i1.6928J Medicine 2011; 12 : 26-29

scholarly journals Tuberculous and Nontuberculous Cervical Lymphadenitis: A Clinical Review

1970 ◽  
Vol 1 (2) ◽  
pp. 12-13 ◽  
Author(s):  
D Shrestha ◽  
P Thapa ◽  
M Dahal
Keyword(s):  
Clinical Review ◽  
Fine Needle Aspiration ◽  
Fine Needle Aspiration Cytology ◽  
Needle Aspiration ◽  
Cervical Lymphadenitis ◽  
Aspiration Cytology ◽  
Fine Needle ◽  
Needle Aspiration Cytology ◽  
Head Neck

Keywords: Tubercular cervixal lymphadenitis; fine needle aspiration cytology; biopsy; histopathological examiniationDOI: 10.3126/njenthns.v1i2.4757 Nepalese J ENT Head Neck Surg Vol.1 No.2 (2010) p.12-13

scholarly journals Cholangiocarcinoma Metastatic to the Neck: First Report of a Case

2002 ◽  
Vol 81 (11) ◽  
pp. 776-778 ◽  
Author(s):  
Scott H. Hardeman ◽  
Brian Collins ◽  
Val J. Lowe ◽  
Harvey Solomon ◽  
Brendan C. Stack
Keyword(s):  
Lymph Node ◽  
Cervical Lymph Node ◽  
Needle Aspiration ◽  
Excision Biopsy ◽  
Unique Case ◽  
Aspiration Cytology ◽  
Fine Needle ◽  
Neck Masses ◽  
Needle Aspiration Cytology ◽  
Head And Neck Masses

We describe a unique case of a cholangiocarcinoma that metastasized to a cervical lymph node—to our knowledge the only such case ever reported. The diagnosis was based on fine-needle aspiration cytology and confirmed by excision biopsy. This case illustrates the importance of keeping all possible options in mind when diagnosing head and neck masses.

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