Subject(s)
Adenoma/pathology , Thyroid Gland/pathology , Thyroid Neoplasms/pathology , Adult , Biopsy, Needle , Female , HumansABSTRACT
Oral cavity tumors may develop occult metastases to the cervical lymph nodes. Current imaging techniques and routine histopathologic methods may fail to detect lymph node micrometastases, but the surgeon has to electively dissect a neck at risk of developing clinical disease. Supraomohyoid neck dissection has been the elective surgery for treating a clinically negative neck in patients with oral cavity primaries. A literature review revealed that level IV nodes can be significantly affected by occult disease with and without metastases in level I-III lymph nodes. This means that level IV nodes have to be included in the supraomohyoid neck dissection, resulting in a more extensive surgical procedure to ensure a margin of oncological safety.
Subject(s)
Mouth Neoplasms/surgery , Neck Dissection/methods , Humans , Hyoid Bone , Lymphatic MetastasisSubject(s)
Ear Diseases/etiology , Granulomatosis with Polyangiitis/complications , Hearing Disorders/etiology , Nasal Obstruction/etiology , Adult , Diagnosis, Differential , Ear Diseases/therapy , Facial Paralysis/etiology , Female , Granulomatosis with Polyangiitis/diagnosis , Granulomatosis with Polyangiitis/therapy , Hearing Disorders/therapy , Humans , Middle Aged , Nasal Obstruction/therapy , Tomography, X-Ray ComputedABSTRACT
A case of histiocytic necrotizing lymphadenitis involving a right submandibular lymph node is described in a 14-year-old Caucasian boy. The diagnosis was established on initial assessment by fine needle aspiration biopsy. Excisional biopsy, performed because the lymph node enlargement failed to regress, confirmed the cytological findings.
Subject(s)
Histiocytic Necrotizing Lymphadenitis/diagnosis , Lymph Nodes/pathology , Adolescent , Histiocytic Necrotizing Lymphadenitis/surgery , Humans , Lymph Nodes/surgery , Male , NeckABSTRACT
Salivary tissue neoplasms may involve normal, accessory and heterotopic salivary gland tissue. A case of Warthin's tumour originating from heterotopic salivary gland tissue of the upper neck is reported. The radioactive uptake of 131I, evidenced in the neck mass in its pre-diagnostic assessment, suggested a diagnosis of cervical node involvement from a primary malignant thyroid neoplasm. A critical review of the literature on heterotopic salivary gland tissue neoplasms of the head and neck is also presented.
Subject(s)
Adenolymphoma/complications , Choristoma/complications , Head and Neck Neoplasms/complications , Salivary Glands , Adenolymphoma/surgery , Adenoma/complications , Adenoma/surgery , Choristoma/surgery , Female , Head and Neck Neoplasms/surgery , Humans , Middle Aged , Thyroid Neoplasms/complications , Thyroid Neoplasms/surgery , ThyroidectomyABSTRACT
A case of Kimura's disease involving two intraparotid lymph nodes is described in a 16-year-old Caucasian boy presenting with a painless swelling of the right parotid gland. A preoperative diagnosis of Kimura's disease was made on the basis of fine-needle aspiration biopsy (FNAB) and was confirmed by histological evaluation of the surgical specimen. FNAB is a safe and accurate procedure that can be used in the outpatient setting to enable a prompt preliminary diagnosis.
Subject(s)
Angiolymphoid Hyperplasia with Eosinophilia/diagnosis , Lymph Nodes/pathology , Parotid Diseases/pathology , Adolescent , Biopsy, Needle , Chronic Disease , Diagnosis, Differential , Humans , Lymph Nodes/surgery , Male , Parotid Diseases/surgery , Parotid Gland/pathologyABSTRACT
Basaloid squamous cell carcinoma is a variant of squamous cell carcinoma with distinctive histological and immunohistochemical characteristics and aggressive behaviour involving predominantly the upper aerodigestive tract. We describe the clinicopathological findings, along with immunohistochemical investigations, in 5 new cases with carcinoma localized in oral cavity and oropharynx.
Subject(s)
Carcinoma, Squamous Cell/pathology , Carcinoma, Transitional Cell/pathology , Mouth Neoplasms/pathology , Oropharyngeal Neoplasms/pathology , Aged , Carcinoma, Squamous Cell/radiotherapy , Carcinoma, Squamous Cell/surgery , Carcinoma, Transitional Cell/radiotherapy , Carcinoma, Transitional Cell/surgery , Combined Modality Therapy , Diagnosis, Differential , Humans , Male , Middle Aged , Mouth Neoplasms/radiotherapy , Mouth Neoplasms/surgery , Neoplasm Staging , Oropharyngeal Neoplasms/radiotherapy , Oropharyngeal Neoplasms/surgery , Treatment OutcomeABSTRACT
A patient with bilateral tonsillar enlargement secondary to syphilis is presented. Clinical appearance, histological findings and serological tests permitted a correct diagnosis to be obtained, ruling out the suspicion of cancer.
Subject(s)
Syphilis/pathology , Tonsillitis/pathology , Adult , Humans , Male , Syphilis, Cutaneous/diagnosis , Tonsillitis/microbiologyABSTRACT
We present a case of subcutaneous plexiform schwannoma, a rare benign peripheral nerve sheath tumour characterized by a multinodular and plexiform growth pattern. A review of the literature was performed to identify the relationship between plexiform schwannoma and neurofibromatosis types 1 and 2, and schwannomatosis. It is also important to distinguish plexiform schwannoma from plexiform neurofibroma, a particular type 1 neurofibromatosis lesion, because of the propensity of the latter for malignant degeneration.
Subject(s)
Mouth Neoplasms/pathology , Neurilemmoma/pathology , Adult , Cheek , Diagnosis, Differential , Female , Humans , Neurofibroma, Plexiform/pathologyABSTRACT
The literature on verrucous carcinoma of the head and neck was reviewed to analyse the use of primary radiation therapy in the treatment of this lesion. The results emphasize an overall local control rate of 43.2 per cent, and 6.7 per cent of true anaplastic transformation following irradiation. Diagnosis remains the fundamental problem: without a correct diagnosis of verrucous carcinoma, no correct treatment can be applied.
Subject(s)
Carcinoma, Verrucous/radiotherapy , Head and Neck Neoplasms/radiotherapy , Anaplasia/etiology , Humans , Radiotherapy/adverse effects , Treatment OutcomeABSTRACT
Hamartoma of the larynx is an extremely rare lesion, and the number of well-documented and acceptable cases is limited. The world literature is critically reviewed in order to develop a more accurate clinicopathological profile of this tumorlike malformation, which has to be differentiated from choristoma, teratoma, and rhabdomyoma, among others. Management consists of local excision, and the prognosis is good.
