scholarly journals Intramuscular hemangioma of the retropharyngeal space

2007 ◽  
Vol 64 (7) ◽  
pp. 485-488 ◽  
Author(s):  
Ivan Boricic ◽  
Zorica Stojsic ◽  
Anton Mikic ◽  
Dimitrije Brasanac ◽  
Nada Tomanovic ◽  
...  

Background. Intramuscular hemangioma (IMH) is a distinctive type of hemangioma occurring within skeletal muscle. Most IMH are located in the lower extremity, particularly in the muscles of the thigh. When present in the head and neck region, the masseter and trapezius muscle are the most frequently involved sites. Case report. We reported a case of unusual localization of the head and neck IMH occurring within the retropharyngeal space (RPS). To our knowledge, this is the second such case reported in the English literature. The tumor presented as a left-sided neck mass with bulging of the posterior and left lateral oropharyngeal wall on indirect laryngoscopy. Computed tomography (CT) scan revealed an ill-defined mass in the RPS at the oropharyngeal level. The lesion was excised via a transoral approach and microscopically diagnosed as IMH, the complex malformation subtype. Although surgical margins were positive, no recurrence of the tumor was noted in the 17-month follow-up. Conclusion. Intramuscular hemangioma should be considered in the differential diagnosis of deep head and neck masses. The knowledge of the infiltrative nature and recurrence rate of an IMH is useful for appropriate management. .

2020 ◽  
Vol 13 (1) ◽  
pp. 78-82
Author(s):  
Brihaspati Sigdel ◽  
Rajesh Maharjhan ◽  
Tulika Dubey ◽  
Bhima Neupane

Hemangiomas of the head and neck region comprise about 60 to 70% of all benign tumors. Intramuscular hemangioma is a rare, slow-growing, angiomatous tumor. We report a rare case of an Intramuscular Hemangioma of Right sternocleidomastoid muscle in a six years old girl presenting for four years and with extensive involvement necessitating excision. Microscopic excision reduces the risk of recurrence.


2021 ◽  
Vol 14 (3) ◽  
pp. 251-258
Author(s):  
Hyoyeon Kim ◽  
Seung Hoon Woo

Traditional open surgery is indicated for the treatment of selected tumor subsites in the head and neck. However, it can cause major cosmetic problems and functional pathologies. The endoscopically-assisted transoral approach is increasingly preferred in some surgical fields due to its superior cosmetic and functional outcomes. Nonetheless, endoscopically-assisted transoral approach is not yet standard in the head and neck due to their anatomical complexity. The transoral surgical approach has been used for head and neck masses since the 1960s, and its application continues to evolve with changing disease conditions and recent innovations in surgical instruments. The potential for wide application of transoral surgery continues to be investigated, with a focus on minimizing occurrence of the complications. This review presents details of the surgical procedure and postoperative clinical outcomes, as well as endoscopically-assisted scar-free techniques for the resection of midline neck masses.


2012 ◽  
Vol 6 (4) ◽  
pp. 19-25
Author(s):  
GG Swamy ◽  
A Singh ◽  
JM Ahuja ◽  
N Satyanarayana

Palpable masses in head and neck are a common clinical finding, affecting all age groups. These lumps may be extremely worrying for both physician and patient, as a wide variety of pathological conditions. Accurate cytological analysis has played a major role in evaluation and planning for surgery. We attempted to evaluate the role of Fine Needle Aspiration Cytology (FNAC) in diagnosing lesions of the head and neck region and to review the diversity of lesions in the patients attending the hospital. The study was conducted retrospectively in the department of pathology at College of Medical Sciences- Teaching Hospital, Bharatpur, Nepal a tertiary health care centre. The target population comprised patients presenting with palpable masses at head and neck region during the period of February 2007 to December 2009. The accuracy of FNAC was verified by histological examination in this final study group of (n=125) patients. In these (n=125) patients, twenty five were males and hundred were females. Thyroid gland (60%) was the commonest site aspirated, followed by lymph node (20%), salivary gland (16%) and soft tissue lesions (4%). In our study the sensitivity was 87.5%, the specificity was 100%, the positive predictive value was 100%, the negative predictive value was 98.26% and false negatives were 12.5%. We concluded that FNAC is a safe, cost-effective, sensitive and specific technique in the initial evaluation of head and neck masses. A correct cytological diagnosis can be achieved in a majority of cases, avoiding the need for surgical interventions. Journal of College of Medical Sciences-Nepal,2011,Vol-6,No-4, 19-25 DOI: http://dx.doi.org/10.3126/jcmsn.v6i4.6721


2018 ◽  
Vol 62 (3) ◽  
pp. 183-192
Author(s):  
Yılmaz Baş

Objective: There are no up-to-date records on head and neck masses (HNMs) in Somalia. This cytological study is the first to demonstrate the benefits and findings of fine-needle aspiration cytology in evaluating HNMs in the adult population of Somalia. Study Design: A total of 116 aspiration samples were taken from different levels of the neck region, except for the thyroid. Cases were classified as salivary gland, lymph node, or soft tissue/cystic lesions. They were classified according to age, gender, and cytological diagnosis. Results: Patients included 54 (46.6%) males and 62 (53.4%) females, with a mean age of 40.6 years. Seventy-two patients (62.1%) had benign lesions, while 44 (37.9%) had malignant lesions. Necrotizing granulomatous lymphadenitis (n = 51, 70.8% of the benign findings) and lymph node metastasis of squamous cell carcinoma (n = 13, 29.5% of the malignant findings) were the most frequent findings. Conclusion: Fine-needle aspiration is a useful procedure in the diagnosis of neck masses. It is a cheap and easy guiding method for diagnosing granulomatous lymphadenitis and advanced-stage metastatic cancers, which are common in this country.


2021 ◽  
Vol 14 (2) ◽  
pp. e239106
Author(s):  
Eleni Marie Mijalis ◽  
Brian Manzi ◽  
Hugo Cuellar ◽  
Cherie Ann O Nathan

An 86-year-old woman was referred to the otolaryngology clinic for a 1-year history of a painless, slow-growing neck mass. Physical examination showed a fixed, immobile right level II neck mass with normal vocal cord movement. MRI demonstrated a lobulated mass laterally displacing the carotid vessels, consistent with a schwannoma. Despite the pathognomonic radiographic findings for schwannoma, core needle biopsy of the mass was consistent with intramuscular myxoma (IM), which rarely presents in the head and neck region. After multiple years of slow growth with bulging into the pharynx, the patient ultimately underwent surgery to reduce the risk of airway compromise. The location of this IM together with its unusual imaging appearance is a unique finding in the head and neck and adds to the differential diagnoses for neck masses displacing the carotid sheath.


2021 ◽  
Vol 1 (4) ◽  
Author(s):  
Hakobyan Gagik

Angiomyomatous hamartoma of head and neck region is very are disease, of unknown etiology and more often than not it can be misdiagnosed preoperatively. Materials and Methods: In a study we present a case of angiomyomatous hamartoma in the carotid triangle, a site where a tumor has an invasion to external carotid artery, treatment carried out by surgical excision, after histological examination, the final diagnosis was made. The patient was under observation for 3 years, there were no relapses. Conclusion: The diagnosis of angiomyomatous hamartoma is based on histologic examination. Although this entity is rare, we believe that head and neck surgeons should include it in the differential diagnosis of head and neck masses.


1995 ◽  
Vol 112 (5) ◽  
pp. P142-P142
Author(s):  
Charles M. Myer ◽  
J. Paul Willging

Educational objective: To develop an evaluation protocol and a treatment plan for a head or neck mass in a child.


2016 ◽  
Vol 12 (9) ◽  
pp. 361
Author(s):  
Akeel A. Khdhayer ◽  
Mazin Jasim Al-Azawi ◽  
Nawal Al-Alash ◽  
Hadeel A. Yasseen

Background Commonly presenting neck masses occur within lymph nodes, thyroid, parotid and other salivary glands. Objective This study is designed to assess the accuracy, sensitivity, specificity in various head and neck lesions Material and method fine needle cytology and the histopathology were done on 100 patients who presented with palpable head and neck mass (es). Result Sensitivity, specificity, and accuracy for detection of lymphoma is 50%, 90%, 70.0% respectively. While the overall sensitivity, specificity, accuracy is 88%, 98%, 93%. Conclusion fine needle aspiration is a highly accurate method for primary diagnosis of neck masses apart from lymphoma.


2021 ◽  
pp. 912-917
Author(s):  
Zainub Ajmal ◽  
Abdul Moiz Khan ◽  
Lezah McCarthy ◽  
Allison Lupinetti ◽  
Syed Mehdi

Leiomyosarcoma (LMS) of the trachea is an extremely rare malignancy with only a few reported cases in English literature. As such the diagnosis can be frequently missed or delayed. We present a case of a 69-year-old male who underwent tracheostomy for airway obstruction secondary to glottic squamous cell carcinoma and treated definitely with radiation therapy. Subsequently, the patient developed LMS of the tracheostomy site. The case further details multiple risk factors that could contribute to development of LMS including radiation exposure, prior malignancy, and chronic inflammation. These risk factors have been well established for LMS in other sites but less so in the head and neck region, which is the subject of our discussion. We also review the current guidelines for head and neck as well as limb sarcomas and discussed role of surgery or radiation and their accompanying challenges in management of this rare malignancy.


Sign in / Sign up

Export Citation Format

Share Document