Subkutanöz Dermatofibromun Nadir Bir Lokalizasyonu

Otolaryngology - Head and Neck Surgery, 2006

CLINICAL PRESENTATION A 33-year-old woman presented with a painless swelling in the right submandibular region that had been enlarging pro-gressively over the past 1 and 1/2 years. There was no history of local trauma or infection, and the area did not change during meals. The medical and family histories were noncon-tributory. Physical examination revealed a soft, movable, poorly cir-cumscribed swelling measuring 5 5 cm in the right sub-mandibular area (Fig 1). The overlying skin appeared normal and did not appear to blanch significantly with compression of the mass. No bruit or thrill was detected. Intraorally, the floor of the mouth was nonelevated with a normal surface mucosa. Bimanual palpation elicited equivalent submandibu-lar salivary flow from both the right and left sides. Initial panoramic and mandibular occlusal radiographs failed to disclose any abnormal findings. On subsequent ul-trasound examination, the left submandibular gland appeared to be of normal size and echog...

Indian Journal of Otolaryngology and Head & Neck Surgery, 2021

Neck masses can be defined as any abnormal swelling or growth from the level of base of skull to clavicle. They can be benign or malignant so a thorough investigation is necessary to reach to a final diagnosis. Here we report a case series of three unusual neck masses presenting to the Out patient Department of Otorhinolaryngology and Head and Neck Surgery in R. G. Kar Medical College, a tertiary care hospital of Kolkata in a span of 1.5 years. The rarity of the etiology behind the neck masses makes this case series unique.

American Journal of Neuroradiology, 2008

BACKGROUND AND PURPOSE: Malignant fibrous histiocytoma (MFH) is uncommon in the head and neck. The purpose of this study was to investigate CT and MR imaging features of 13 cases of MFH of this area. MATERIALS AND METHODS: Two head and neck radiologists, in consensus, retrospectively reviewed CT (n ϭ 11) and MR (n ϭ 9) images in 13 patients (9 men and 4 women; mean age, 45 years) with histologically proved MFH of the head and neck, paying attention to the location and extent, size, margin, internal architecture, and pattern and degree of enhancement of the lesion. We also investigated if there were any differences in signal-intensity characteristics on MR images, according to different histologic subtypes. RESULTS: All lesions were seen as well-defined (n ϭ 2) or ill-defined (n ϭ 11), aggressive masses with a mean size of 4.9 cm. The tumors were primarily located in the sinonasal cavity in 6, the soft tissue of the face and neck in 5, the oral cavity in 1, and the orbital roof in 1. One lesion arose in the bones with background fibrous dysplasia. Twelve lesions invaded the adjacent soft tissues, and bone destruction was seen in 11 lesions. The attenuation, signal intensity, and enhancement pattern of the lesions were nonspecific except for those of myxoid MFH. CONCLUSIONS: Although rare, MFH of the head and neck is an aggressive tumor that arises most commonly in the sinonasal tract and is frequently associated with soft-tissue invasion and bone destruction on CT and MR images. M alignant fibrous histiocytoma (MFH) is the most common soft-tissue sarcoma in adults, accounting for 20%-30% of all soft-tissue sarcomas. 1-3 It was first recognized as a distinct clinicopathologic entity in the early 1960s as a pleomorphic sarcoma that contains both fibroblastic and histiocytic cells in varying proportions, arranged in a storiform pattern. 4-6 In addition to soft tissue, the tumor has been reported to occur in virtually every part of the body, including bone, viscera, and skin. 2,7 Despite this ubiquity, however, MFH remains relatively uncommon in the head and neck region, accounting for 3%-10% of all cases. 8,9 To our knowledge, except in a limited number of case reports, 10-13 most of the previous reports on MFH of the head and neck focused on the clinicopathologic features, 8,9,14-16 and the imaging features were not the major concern. The purpose of this study was to investigate the CT and MR imaging features of 13 cases of MFH arising in various locations of the head and neck.

Cytopathology, 2020

American Journal of Otolaryngology, 2001

Asian Journal of Pharmaceutical and Clinical Research Journal, 2023

The aim of the study was to compare the accuracy of fine-needle aspiration cytology (FNAC) over open biopsy in the assessment of the cause of neck swellings. Methods: The sample includes 100 patients with neck swellings who visited the nose and throat outpatient department at M.G.M. Medical College and Lions Seva Kendra Hospital in Kishanganj, Bihar. The period of study was 2 years, from October 2019 to October 2021 prospective study. All cases of neck enlargement were referred for radiological examinations. A ultrasound neck Doppler study was performed to determine the nature and vascularity of the swelling. Then, all the cases of neck swelling were sent to the department of pathology for FNAC. Results: Lymph node aspiration was carried on in 25 cases, tubercular lymphadenitis, which was the commonest swelling in our study. Twenty-five of these lymph node cytology reports were similar to the histopathological examination (HPE) report. Of the 49 thyroid swelling aspirates, 24 cytological reports were similar to HPE reports, and 20 reports did not match with HPE reports. Two cases of colloid goiter were found to be papillary carcinoma of the thyroid. Out of eight salivary gland swelling were matched with the HPE reports. One more case of lateral neck swelling was noted in FNAC as adnexal mass. The patient underwent surgery histopathology concluded as schwannoma. Conclusion: FNAC of neck masses with clinical correlation can provide the surgeon with the most helpful information to determine the different management modes. It is also essential to take into consideration clinical symptoms and biochemical tests. Hence, we conclude that FNAC is a safe, simple, and rapid method that can be done to diagnose a wide range of neck swellings.

European Archives of Oto-Rhino-Laryngology, 2013

Neck masses can be classified into three main categories: congenital, inflammatory and neoplastic. Our aim was to determine the distribution of diagnosis in patients who were followed-up for a neck mass and had undergone surgery for diagnostic indications. Six hundred and thirty cases referred to the Otorhinolaryngology and Head Neck Surgery Department of Haseki Research and Training Hospital between January 2005 and February 2012 with a neck mass who underwent excisional or incisional biopsy to establish a histopathologic diagnosis were retrospectively evaluated. Patients with a diagnosis of upper aerodigestive tract malignancy were excluded from the study. As well as the patients with thyroid masses were excluded. Only unknown primary neck masses were included in the study. The neck masses were categorized as inflammatory (33.49 %), congenital (18.9 %) or neoplastic (47.6 %). Neoplastic masses were either benign (51 %) or malignant (49 %) tumors. The most common causes were tuberculous lymphadenitis (40.28 %) among inflammatory masses, thyroglossal duct cysts (32.77 %) among congenital masses, pleomorphic adenoma (22.33 %) among benign neoplastic masses, and lymphoma (20 %) among malignant neoplastic masses. The most common types of mass were congenital in the 0-20 year age group, benign neoplastic in 21-40-year-old and malignant neoplastic in the [40-year group. Any neck mass, especially in an elderly patient, should be managed with caution as a considerable proportion may be malignant. In children and adolescents, a neck mass requiring surgery is most likely to be congenital. Tuberculosis should be considered as a cause of a neck mass due to a long-term inflammatory process in a developing country.

Journal of Evolution of Medical and Dental Sciences, 2017

BACKGROUND Skin is a complex & the largest organ in the body. Because of its complexity, a range of disease can develop from skin including tumors, which are more difficult to define than when found elsewhere. Aim is to study the overall frequency, age & sex distribution, different clinical presentation & histopathological features of various skin tumours confined to head & neck. MATERIALS & METHODS It is a descriptive study of 100 patients selected at random presenting with different forms of cutaneous tumours of head & neck attending Skin and STD OP, Chengalpet Government Hospital, Chengalpet for a period of one year. Clearance was obtained from Ethical Committee. RESULTS Out of 100 patients, 46 were males and 54 were females. Majority of the patients were in the age group of fifth decade (23%) & sixth decade (21%). Mostly were benign tumours (88%). Commonest skin tumours were surface tumours of epidermis (62%) especially Acrochordons (15%) & seborrheic keratosis (14%) followed by tumours of epidermal appendages (21%) with classical histopathology. Familial occurrence was noted in 2 cases of syringoma, 2 cases of steatocystoma multiplex and one case of keloid. Rare case like xeroderma pigmentosum with squamous cell carcinoma was encountered in a female child. CONCLUSION Most of the skin tumours of head & neck whether benign or malignant though symptomless, they were cosmetically unacceptable & were treated accordingly. Hence, by correlating the clinical and histopathological features, a definitive diagnosis can be established.

Plastic and Reconstructive Surgery, 2007

A s a service to our readers, Plastic and Reconstructive Surgery® reviews books, DVDs, practice management software, and electronic media items of educational interest to reconstructive and aesthetic surgeons. All items are copyrighted and available commercially. The Journal actively solicits information in digital format (e.g., CD-ROM and Internet offerings) for review. Reviewers are selected on the basis of relevant interest. Reviews are solely the opinion of the reviewer; they are usually published as submitted, with only copy editing. Plastic and Reconstructive Surgery® does not endorse or recommend any review so published. Send books, DVDs, and any other material for consideration to: Jack A. Friedland, M.