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Myxofibrosarcoma of the neck

Published online by Cambridge University Press:  31 March 2006

T Udaka ,
H Yamamoto ,
T Shiomori ,
T Fujimura  and
H Suzuki
T Udaka
Affiliation:
Department of Otorhinolaryngology, University of Occupational and Environmental Health, School of Medicine, Kitakyushu, Japan
H Yamamoto
Affiliation:
Department of Otorhinolaryngology, University of Occupational and Environmental Health, School of Medicine, Kitakyushu, Japan
T Shiomori
Affiliation:
Department of Otorhinolaryngology, University of Occupational and Environmental Health, School of Medicine, Kitakyushu, Japan
T Fujimura
Affiliation:
Department of Otorhinolaryngology, University of Occupational and Environmental Health, School of Medicine, Kitakyushu, Japan
H Suzuki
Affiliation:
Department of Otorhinolaryngology, University of Occupational and Environmental Health, School of Medicine, Kitakyushu, Japan
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Abstract

We report a rare case of myxofibrosarcoma arising in the neck. A 55-year-old man presented with a two-year history of left-sided, painless, submandibular swelling. Computed tomography and magnetic resonance imaging (MRI) revealed an 80 × 35 mm, well defined, lobulated, submandibular tumour extending to the parapharyngeal space. The tumour showed uniformly low intensity and marked hyperintensity in T1- and T2-weighted MRI scans, respectively, and was scarcely enhanced by gadolinium. A tentative diagnosis of lymphangioma or plunging ranula was made, and the patient underwent local injection of OK-432, which proved to be ineffective. Resection of the tumour was then performed via a transcervical approach. The tumour was histopathologically and immunohistochemically diagnosed as a low-grade myxofibrosarcoma. The patient's post-operative clinical course was uneventful, and the patient was free of disease 27 months after surgery. The pathology, clinical characteristics and treatment of myxofibrosarcoma are bibliographically reviewed.

Keywords

MyxofibrosarcomaMalignant Fibrous HistiocytomaNeck
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 120 , Issue 10 , October 2006 , pp. 872 - 874
Copyright
2006 JLO (1984) Limited

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