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.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7868242PMC
http://dx.doi.org/10.1136/bcr-2020-239106DOI Listing

Publication Analysis

Top Keywords

intramuscular myxoma
8
neck mass
8
displacing carotid
8
head neck
8
neck
5
myxoma longus
4
longus colli
4
colli mistaken
4
mistaken cervical
4
cervical rootlet
4

Similar Publications

Intramuscular Myxoma in the Thenar Eminence: Literature Review and a Rare Case Report.

Plast Reconstr Surg Glob Open

December 2024

From the Plastic and Reconstructive Surgery Department, Hamad Medical Corporation, Doha, Qatar.

Intramuscular myxoma (IM) is a rare benign soft-tissue neoplasm that most commonly involves the thigh muscles. It presents as a painless, solitary, slow-growing mass. The definitive diagnosis of IM can only be made by histopathological examination of the lesion.

View Article and Find Full Text PDF

Introduction And Importance: Mazabraud's syndrome is a rare condition, describing the presence of fibrous bone dysplasia and intramuscular myxomas, with an incidence of 1:1,000,000. The aim of this article is to provide a review of the clinical presentation of Mazabraud's syndrome, including indications for surgical treatment, and follow-up strategies.

Case Presentation: A 46-year-old woman presented with a 3-month history of a painless mass in the right gluteal region, she referred a rapid increase in the mass's volume in the 3 weeks prior to consultation.

View Article and Find Full Text PDF

Intramuscular myxoma: unusual observation of spontaneous tumor size shrinkage.

Skeletal Radiol

October 2024

Department of Orthopedic and Trauma Surgery, Cliniques Universitaires Saint Luc, Université Catholique de Louvain (UCLouvain), Hippocrate Avenue 10, B-1200, Brussels, Belgium.

Article Synopsis
  • Soft tissue tumors can grow or stay the same size, but rarely shrink on their own; exceptions include conditions like inflammation and certain benign tumors.
  • Intramuscular myxomas are benign tumors that usually appear as slow-growing, painless masses and are typically removed with surgery, which has low recurrence rates.
  • This text discusses three unusual cases where intramuscular myxomas in different body areas shrank spontaneously, challenging the usual treatment approaches for these lesions.
View Article and Find Full Text PDF
Article Synopsis
  • The pig tapeworm causes cysticercosis, a parasitic disease affecting the human nervous system, particularly in regions such as Central and South America, Eastern Europe, and parts of India.
  • Two pediatric cases of intramuscular cysticercosis were treated successfully with oral prednisolone followed by albendazole, leading to the resolution of symptoms and swellings within three months.
  • Diagnosis is often challenging due to nonspecific symptoms, but high-resolution ultrasound and MRI are effective methods for identifying cysticercosis in muscles.
View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!