Fibromatosis aggressiva of parapharyngeal space – a case report and review of literature.

2017 ◽  
Vol 6 (2) ◽  
pp. 10-15
Author(s):  
Angelika Piotrowska ◽  
Anna Rzepakowska ◽  
Piotr Chęciński ◽  
Kazimierz Niemczyk
Keyword(s):  
Parapharyngeal Space ◽  
Neck Region ◽  
Aggressive Fibromatosis ◽  
Surgical Excision ◽  
Review Of Literature ◽  
Head And Neck Region ◽  
Desmoid Fibromatosis ◽  
Complete Surgical Excision ◽  
High Local Recurrence Rate

Desmoid fibromatosis is defined as a rare fibroblastic proliferation. Although histologically benign, desmoids are locally invasive and associated with a high local recurrence rate. When located in the head and neck region, fibromatosis tends to be more aggressive and associated with significant morbidity, which may be attributed to the proximity of the vital structures. We report a case of 33-year-old woman with aggressive fibromatosis of parapharyngeal space. Complete surgical excision of the lesion was performed and the postoperative period was without complications. The patient remains under careful follow-up and there is no recurrence of the disease.

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>

Well-differentiated liposarcoma arising in the parapharyngeal space: a case report and review of the literature

2015 ◽  
Vol 129 (S2) ◽  
pp. S86-S90 ◽  
Author(s):  
N Kikuchi ◽  
T Nakashima ◽  
J Fukushima ◽  
K Nariyama ◽  
S Komune
Keyword(s):  
Case Report ◽  
Parapharyngeal Space ◽  
Case Reports ◽  
Surgical Margin ◽  
Neck Region ◽  
Surgical Excision ◽  
Curative Therapy ◽  
Long Term Follow Up ◽  
Well Differentiated

AbstractBackground:Liposarcomas rarely occur in the parapharyngeal space and only a few case reports exist. For curative therapy of liposarcoma, surgical excision remains the dominant modality. Although a wide surgical margin is important to prevent local recurrence, wide excision is often difficult in the head and neck region.Case report:We report a case of a 19-year-old female with a well-differentiated liposarcoma arising in the parapharyngeal space. We removed the tumour surgically utilising a cervical–parotid approach. The histological diagnosis was well-differentiated sclerosing liposarcoma. There is no recurrence after five years and nine months of follow up.Conclusion:The patient's age and the tumour site made it difficult for us to make a quantitative diagnosis before the operation. Well-differentiated liposarcoma rarely develop distant metastasis, but often recur locally. The benefit of adjuvant radiotherapy for well-differentiated liposarcoma is still not clear and careful and long-term follow up is necessary.

scholarly journals Nodular Fasciitis in a One-Year-Old Male: A Diagnostic Dilemma

2010 ◽  
Vol 25 (2) ◽  
pp. 27-31
Author(s):  
Adrian F. Fernando ◽  
Antonio H. Chua ◽  
Lily L. Sia-Vargas
Keyword(s):  
Neck Region ◽  
Aggressive Fibromatosis ◽  
Surgical Excision ◽  
University Hospital ◽  
Ground Substance ◽  
Nodular Fasciitis ◽  
High Resolution Computed Tomography ◽  
Diagnostic Dilemma ◽  
Complete Surgical Excision ◽  
One Year

Objective:  To present a rare case of nodular fasciitis presenting as a supra-auricular mass.   Methods: Design: Case Report Setting: Private Tertiary University Hospital Patient: One   Results: A one-year-old boy presented with an initially painless, left supra-auricular mass that rapidly enlarged from < 1 cm to 3 cm (widest diameter) in a two-month period. Sarcoma was initially considered over an inflammatory process as the mass was non-responsive to antibiotic therapy. Fine-Needle Aspiration Cytology (FNAC) and High-Resolution Computed Tomography (HRCT) with contrast revealed benign cytologic and radiologic findings making nodular fasciitis the primary impression.               The patient eventually underwent complete surgical excision of the left supra-auricular mass. Histopathologic findings then showed a stroma rich in collagen and myxoid ground substance and loose array of short S-shaped fascicle cells with scattered lymphocytes, macrophages and red blood cells consistent with nodular fasciitis.   Conclusion: Nodular fasciitis is a rare benign myofibroblastic soft tissue tumor which typically presents as a rapidly progressive nodular lesion in the head and neck region of the young pediatric age group. Cytopathologic recognition with FNA is a challenge. The gold standard of treatment is still surgical and in most reported cases, curative. More importantly, early clinical recognition and correlation with radiologic and histopathologic appearance is very important to avoid unnecessary work-ups and over-treatment.   Keywords: Nodular fasciitis; pseudosarcomatous fasciits; aggressive fibromatosis, desmoid tumor

Low-grade fibromyxoid sarcoma of the parapharyngeal space: an unusual location

2021 ◽  
Vol 14 (5) ◽  
pp. e237083
Author(s):  
Muhammad Hammad Deewani ◽  
Muhammad Hassan Danish ◽  
Muhammad Sohail Awan ◽  
Nasir Ud Din
Keyword(s):  
Head And Neck ◽  
Parapharyngeal Space ◽  
Neck Region ◽  
Low Grade ◽  
Head And Neck Region ◽  
Myxoid Stroma ◽  
Spindle Cells ◽  
Fibromyxoid Sarcoma ◽  
Established Treatment

Low-grade fibromyxoid sarcoma (LGFMS) is an uncommon soft-tissue malignancy. LGFMS preferentially affects trunks and extremities of young adults; however, occasional cases have been reported in different sites of head and neck region including oral cavity, larynx and oropharynx. LGFMS usually exhibit areas of collagenised and myxoid stroma with appearance of spindle cells in whorling pattern. It is a challenge to diagnose it accurately as most of the time it is misdiagnosed as benign neoplastic entity of spindle cells. There have been only few isolated cases of LGFMS reported in head and neck region and LGFMS originating from the parapharyngeal space has never been reported before. We recently experienced a case of low grade fibomyxoid sarcoma in parapharyngeal space of neck. LGFMS have the propensity to locally recur and to metastasise. Due to its rarity in head and neck region, there are no well-established treatment and follow-up guidelines.

scholarly journals Malignant Chondroid Syringoma With Nose and Paranasal Sinus Extension: A Case Report

2019 ◽  
Vol 10 ◽  
pp. 215265671989336
Author(s):  
Raghul Sekar ◽  
Raja Kalaiarasi ◽  
Sivaraman Ganesan ◽  
Arun Alexander ◽  
Sunil K. Saxena
Keyword(s):  
Benign Tumor ◽  
Bone Destruction ◽  
Neck Region ◽  
Surgical Excision ◽  
Mixed Tumor ◽  
Head And Neck Region ◽  
Chondroid Syringoma ◽  
Slow Growing ◽  
Nose And Sinuses

Chondroid syringoma is a rare, skin appendageal tumor. It is also known as mixed tumor of skin, as it histologically resembles mixed tumor of salivary gland (pleomorphic adenoma). It is most commonly a benign tumor, but a few malignant counterparts have been described in history. It usually presents as a solid, slow-growing, solitary, and painless nodule in the head and neck region. Malignant counterpart is rare and commonly affects trunk and extremities. Early diagnosis and surgery by wide local excision are the most reliable treatments to date. Recurrences are common and hence close follow-up is advised. In this study, we present a case of malignant chondroid syringoma of face with extensive extension into nose and paranasal sinuses, which was recurrent and managed by surgical excision and radiotherapy. To the best of our knowledge, this is the first reported case with extension and bone destruction into nose and sinuses.

scholarly journals Giant Low-Grade Fibromyxoid Sarcoma in the Neck

2020 ◽  
Vol 63 (9) ◽  
pp. 432-435
Author(s):  
Jong Min Park ◽  
Hye Rin Lim ◽  
Jo Heon Kim ◽  
Dong Hoon Lee
Keyword(s):  
Neck Region ◽  
Surgical Excision ◽  
Late Recurrence ◽  
Low Grade ◽  
Head And Neck Region ◽  
Long Term Follow Up ◽  
Fibromyxoid Sarcoma ◽  
Middle Aged Adults

Low-grade fibromyxoid sarcoma (LGFS) is a soft tissue tumor that rarely occurs in the head and neck region. It occurs mainly in the proximal extremities and the trunk and is prevalent in the young and middle-aged adults. In the present case, LGFS was present at an atypical location and at an unusual age. The treatment of choice for LGFS is radical wide surgical excision with a clear margin. Long-term follow-up is essential for all patients with LGFS, as it has the potential for late recurrence or metastasis.

scholarly journals Novel surgical technique for management of tongue schwannoma: case report

2019 ◽  
Vol 5 (3) ◽  
pp. 804
Author(s):  
Neha Jain ◽  
Shama Shishodia ◽  
Ruchima Dham ◽  
Suparna Roy ◽  
Sachin Goel
Keyword(s):  
Case Report ◽  
Treatment Options ◽  
Neck Region ◽  
Surgical Excision ◽  
Uneventful Recovery ◽  
Common Site ◽  
Head And Neck Region ◽  
Complete Surgical Excision ◽  
Oral Approach ◽  
Slow Growing

<p class="abstract">Schwannomas are rare, solitary, slow growing, smooth surfaced and well encapsulated tumors. Schwannomas of head and neck region account for 25-40% of all the cases. Approximately 1%–12% of schwannomas occur intraorally, the tongue being the most common site. Complete surgical excision is the treatment of choice.  In this article, we describe a case of tongue schwannoma in a child, along with diagnostic and treatment options of tongue lesions. The tongue mass was completely excised via trans-oral approach using coblation method. The patient followed up for 1 year; he had an uneventful recovery and no recurrence.</p>

scholarly journals Schwannoma of the Lower Lip Mucosa: An Unexpected Finding

2015 ◽  
Vol 6 (1) ◽  
pp. 35-37
Author(s):  
Kanchan Rajesh Raikwar ◽  
Monali H Ghodke ◽  
Vikramsinh B Deshmukh ◽  
Janardan B Garde ◽  
Rajendrakumar K Suryavanshi
Keyword(s):  
English Literature ◽  
Neck Region ◽  
Surgical Excision ◽  
Benign Tumors ◽  
Unexpected Finding ◽  
Lower Lip ◽  
Head And Neck Region ◽  
Medline Search ◽  
Neurogenic Tumors ◽  
Complete Surgical Excision

ABSTRACT Of all the neurogenic tumors, about half are seen in the head and neck region. Schwannomas are benign tumors of nerve sheath schwann cells and are quite uncommon in the oral cavity, rarely occurring in the lip area. A MEDLINE search in the English literature from 1969 to 2013 revealed only 20 documented cases of schwannomas of the lip. Although rare, schwannoma should be considered in the differential diagnosis of any nodule or mass in the oral mucosa. In the current study, authors report a case of an intraoral schwannoma situated in the lower lip. The diagnosis was established based on clinical and histopathological aspects, which was treated by complete surgical excision. How to cite this article Raikwar KR, Ghodke MH, Deshmukh VB, Garde JB, Suryavanshi RK. Schwannoma of the Lower Lip Mucosa: An Unexpected Finding. Int J Head Neck Surg 2015;6(1):35-37.

Malignant transformation of leiomyoma of the mandible into leiomyosarcoma: A case report

2020 ◽  
Author(s):  
Masoud Fallahi Motlagh ◽  
Yousef Janbaz ◽  
Zahra Mirzaei
Keyword(s):  
Case Report ◽  
Spindle Cell ◽  
Neck Region ◽  
Surgical Excision ◽  
Metastatic Tumor ◽  
Cell Tumor ◽  
Spindle Cell Tumor ◽  
Head And Neck Region ◽  
Clinical Appearance

Lelomyosarcoma(LMS) is an uncommon malignant spindle cell tumor of the head and neck region. It is extremely rare in the oral cavity that arises from smooth muscle differentiation. It may arise as primary, radiation-associated, or metastatic tumor. The clinical appearance of these tumors can be deceptively benign and can be mistaken for non-malignant conditions. Here We present a case with atypical leiomyoma of the mandible in a 40-year- old man who referred with complaint of pain and swelling in his jaw. He underwent surgery and histology and immonohistochemestery studies confirmed the diagnosis. After 6 months recurrence occurred. Histologic examination confirmed leiomyosarcoma so he was managed with surgical excision followed by radiotherapy and chemotherapy without any recurrence or metastasis after 2 years of follow-up.

Congenital Midline Cervical Cleft: A Variant of Tessier Number 30 Cleft Causing Micrognathia

2021 ◽  
pp. 105566562098741
Author(s):  
Cristiano Tonello ◽  
Ines Correia Pinto de Matos ◽  
Leonardo Bezerra Feitosa ◽  
Adriano Porto Peixoto ◽  
Nivaldo Alonso
Keyword(s):  
Relevant Literature ◽  
Neck Region ◽  
Surgical Excision ◽  
Female Child ◽  
Primary Treatment ◽  
Complete Surgical Excision ◽  
Primary Treatment Modality ◽  
Affected Tissue ◽  
Midline Cervical Cleft

Congenital midline cervical cleft is a rare and generally isolated malformation of the ventral neck region with no clear etiology established. Mandibular deformities, such as micrognathia, could be considered as a consequence of a cleft cervical contracture. Complete surgical excision of the subcutaneous fibrous cord at an early age is the primary treatment modality, minimizing growth development problems on surrounding affected tissue. The aim of this study is to describe the clinical, surgical, and histological findings in a female child with congenital midline cervical cleft along with a relevant literature review. Three years follow-up after surgery exhibited satisfactory functional and cosmetic results.

Sign in / Sign up

Export Citation Format

Share Document