Adult-Type Rhabdomyoma of the Omohyoid Muscle
| Autor: | Dinesh K. Chhetri, Kyle Hannabass, Brian Cameron, Anuradha Kanungo |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Neck mass Case Report Omohyoid muscle Rhabdomyoma 03 medical and health sciences 0302 clinical medicine Rare Diseases Biopsy Extracardiac Rhabdomyoma medicine 030223 otorhinolaryngology Rhabdomyosarcoma Cancer screening and diagnosis medicine.diagnostic_test business.industry Prevention Skeletal muscle General Medicine medicine.disease lcsh:Otorhinolaryngology lcsh:RF1-547 Detection medicine.anatomical_structure 030220 oncology & carcinogenesis Radiology Differential diagnosis medicine.symptom business 4.2 Evaluation of markers and technologies |
| Zdroj: | Case Reports in Otolaryngology, Vol 2019 (2019) Case Reports in Otolaryngology |
| Popis: | Rhabdomyomas are benign tumors composed of mesenchymal tissue and having a histologic appearance similar to skeletal muscle. Extracardiac rhabdomyomas are rare, and the majority of the adult subtype occur in the head and neck (H&N) region. Diagnosis can be challenging due to fine-needle aspiration (FNA) and core needle biopsy being suspicious for sampling error from surrounding muscle or concerning for rhabdomyosarcoma. We present a case of a slowly enlarging left neck mass in the strap musculature of a 45-year-old Hispanic male. Multiple FNA and core biopsies failed to establish a diagnosis, and excisional biopsy was pursued revealing a hypertrophied left inferior belly of the omohyoid muscle. Histological analysis was diagnostic of an adult-type extracardiac rhabdomyoma, with complete surgical excision being the gold standard treatment for these tumors. The patient had an uneventful recovery. Skeletal muscle tumors of the H&N are uncommon, and benign extracardiac rhabdomyoma must be considered in the differential diagnosis to prevent unnecessarily aggressive intervention and appropriate patient counseling before and after surgery. |
| Databáze: | OpenAIRE |
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