Unusual pathology presented as neck lump.

Iqbal A.  Muhammad; Ismail Hirani; Shuja Farrukh; Nabil-Ur-Rahman; Jawaid Alam; Parveen Abdullah

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Unusual pathology presented as neck lump.

Author(s)

Iqbal A. Muhammad Department of Otolaryngology, Head and Neck Surgery, Dow University of Health Sciences, Karachi, Pakistan

Ismail Hirani Department of Otolaryngology, Head and Neck Surgery, Dow University of Health Sciences, Karachi, Pakistan

Shuja Farrukh Department of Otolaryngology, Head and Neck Surgery, Dow University of Health Sciences, Karachi, Pakistan

Nabil-Ur-Rahman Department of Otolaryngology, Head and Neck Surgery, Dow University of Health Sciences, Karachi, Pakistan

Jawaid Alam Department of Otolaryngology, Head and Neck Surgery, Dow University of Health Sciences, Karachi, Pakistan

Parveen Abdullah Department of Pathology, Dow University of Health Sciences, Karachi, Pakistan

Abstract

Neck lump is a common presentation in the out patient clinics of otolaryngology, Head and Neck Surgery. It can be diagnosed on the basis of history, clinical examination, investigations and categorized according to the age of presentation. We present a case of young adult girl who had right sided neck lump since four years. On the basis of fine needle aspiration cytology (F.N.A.C), she was diagnosed as a case of cervical chronic granulomatous inflammation consistent with tuberculosis. She was prescribed antituberculous treatment (A.T.T.) for 09 months but the swelling persists without any change. Excisional biopsy of the neck lump was performed and the histopathology revealed Histiocytoma Cutis, a variant of benign fibrous histiocytoma also called ‘Fibrous Xanthoma’ or ‘Xanthoma Cutis’. Extensive English medical literature search on net revealed it to be rare pathology which, to the best of our knowledge, has never been reported in locoregional literature and very rare over the globe.

Publication Details

Page(s) 57-58

DOI DOI not available

Published Journal: Pakistan Journal of Otolaryngology,Head and Neck Surgery, Volume: 20, Issue: 1, Year: 2004

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