Mittal Manaswini, Pillai Suresh, Monappa Vidya, Devaraja K, Majumdar Kinjal Shankar
Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, India.
Division of Head and Neck Surgery, Department of Otorhinolaryngology, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, India.
Eur Arch Otorhinolaryngol. 2024 Jun;281(6):3269-3278. doi: 10.1007/s00405-024-08558-4. Epub 2024 Mar 26.
Desmoid fibromatosis in head and neck is infrequent and poses a significant challenge to the clinicians due to its non-specific characteristics.
This case report focuses on a 69-year-old male who presented to a tertiary healthcare center in Karnataka, India with a swelling in the oral cavity.
Despite initial suspicions of malignancy based on clinical examination and findings on computed tomography imaging, subsequent histopathology and immunohistochemistry revealed an unexpected finding.
The case highlights the importance of clinical suspicion and histopathological evaluation as well as the need for greater awareness to facilitate early diagnosis and appropriate management of desmoid fibromatosis. We also present a literature review of varied presentations of desmoid tumors afflicting various subsites of the head and neck.
头颈部硬纤维瘤病并不常见,因其具有非特异性特征,给临床医生带来了重大挑战。
本病例报告聚焦于一名69岁男性,他前往印度卡纳塔克邦的一家三级医疗中心就诊,主诉口腔有肿物。
尽管根据临床检查和计算机断层扫描成像结果最初怀疑为恶性肿瘤,但随后的组织病理学和免疫组织化学检查显示出意外的结果。
该病例强调了临床怀疑和组织病理学评估的重要性,以及提高认识以促进硬纤维瘤病早期诊断和适当管理的必要性。我们还对累及头颈部各个亚部位的硬纤维瘤的不同表现进行了文献综述。