Submental Lipoma-Clinical Report of the Case and Review of the Literature.

Lipomas is the commonest tumour of subcutaneous tissue. It may occur anywhere in the body, but are very infrequent in the head and neck. Clinically they confuse with other soft tissue masses, especially if the present in the head and neck region. Malignancy has to be ruled out if the large neck swelling with increased rapid recent growth. . Improved diagnostic imaging technology (such as CT or MRI) has been very beneficial for the knowledge of extension and surgical plan of the tumour mass.The best treatment modality so far has been surgical excision. In this present study, a 45-year-old woman who presented with a enlarged submental mass which was present since 2 months but has started growing rapidly since 15 days is described. Surgical excision under bilateral cervical block was performed. A 7cm ×4cm mass was successfully removed. The surgery produced no functional impairment and good cosmetic results. Review of literature is also included.

Myxoid liposarcoma presenting like a cystic neck swelling.

Soft tissue sarcomas are rare and unusual neoplasm’s, accounting for approximately 1% of adult human cancers and 15% of pediatric malignancies. Most liposarcomas occur in deep soft tissues of the extremities and retroperitoneum; only a very small percentage (as low as 2%) occurs in the head and neck. Here we present a case of a 48yr old male with a painless mass in the neck clinically presenting as a cystic swelling. The CT neck was suggestive of cystic lesion in the neck representing benign cystic lesion. The swelling was excised and sent for histopathology which was suggestive of myxoid liposarcoma. The patient was planned for wide excision of the edges and scar and adjuvant chemo and radio therapy.

Cysticercosis of sternocleidomastoid muscle presenting as a neck swelling - A rare case report.

Cysticercosis is an infection of Cestodes, or tapeworms (larvae), which are segmented worms. The adults reside in the gastrointestinal tract, but the larvae can be found in almost any organ. We present a case of an adult presenting as cystic neck swelling which turned out to be cysticercosis of sternocleidomastoid muscle. On evaluation using USG, FNAC cysticercosis was diagnosed and the same was confirmed by histopathological examination. Hence we conclude that parasitic infestation should be considered as differential diagnosis in any neck swelling.

Internal Jugular Vein Phlebectasia : A Rare Case of Lateral Neck Swelling.

Internal Jugular vein Phlebectasia (IJP) is a rare disease in which there is a fusiform or saccular dilatation of Internal Jugular vein, usually presenting as a compressible neck mass that becomes prominent on coughing, straining or Valsalva manoeuvre. Colour Doppler is the non invasive diagnostic tool which clinches the diagnosis. It is important to keep this diagnosis in mind in case of lateral neck swellings to avoid invasive investigations and inappropriate treatment as management of asymptomatic case is conservative.

Recurrent cystic lymphangioma of the neck in an adult: A case report of rare entity.

In adult, cystic lymphangioma is uncommon cause of cervical swelling. A 35 years old woman presented with a slowly enlarging neck swelling for 2 years duration that was excised and identified by pathology as a lymphangioma. She had a similar neck swelling at same location excised 14 years back. We reported this case to emphasize the cystic lymphangioma in differential diagnosis of neck swelling in adults. The literature is reviewed and classification, symptoms, diagnosis, and treatment of lymphangioma are discussed. For small, non-expanding swelling observation is required. Complete surgical excision remains the treatment of choice for cystic lymphangioma of enlarge, persist, obstructed to vital structure in neck or recurrent lymphangioma. This will help in reducing the rate of recurrence

Kimura's disease an unusual glandular involvement with blood and tissue esinophilia.

Kimura's disease is a rare cause of a progressive neck swelling associated with blood and tissue esinophilia. Though it is a benign disease, however, its unrelating course and unpredictable response to the therapeutic interventions, poses a great challenge to the treating physician, the patients and the caregiver. Here is one such case of Kimura's disease.

Omohyoid Muscle Syndrome / 대한이비인후과학회지

BACKGROUND: Some patients present transient swelling on lower lateral neck during swallowing; this condition is known as "omohyoid syndrome" or "omohyoid sling syndrome". The purpose of this case report is to evaluate the proper mechanism as well as to give the reader an appreciation for the proper diagnosis and treatment to this not-uncommon condition. METHODS: There were three cases between May, 2000 and January, 2001. The photography, real-time sonography, and computed tomography (CT) were used. RESULTS: There was a brief report on omohyoid syndrome. The sternocleidomastoid muscle is passively tented up by an underlying omohyoid muscle, and the omohyoid muscle is paradoxically thickened during swallowing. The former appears to have lost its restriction to bowstring by the retaining deep cervical fascia. And the latter seems to result from lack of its relaxation during laryngeal elevation. CONCLUSION: The described approaches allow for precise diagnosis and definite proof of the pathogenetic mechanism.

PLUNGING RANULA IN A 4-YEAR-OLD CHILD: REPORT OF A CASE