Highlights
Ectopic thyroid is defined by the presence of thyroid tissue in locations other than the normal anteror neck region.
On the other side however, making the difference between primary carcinoma and a metastatic carcinoma is a challenging situation.
The location in lateral neck is extremely rare.
The diagnosis of papillary carcinoma of the lateral aberrant thyroide is confirmed by surgical biopsy.
Treatment of papillary carcinoma of the lateral aberrant thyroide is an excision surgery with a total thyroidectomy and possible treatment with radioiodine.
Introduction
Plexiform cervical neurofibromas are benign neoplasm, extremely rare, difficult to diagnose and to manage. Only some cases have been reported in the literature.
Case presentation
We report the case of a 60-year-old man admitted for a lateral neck mass, for which the surgical indication was the increase in volume of this mass, as well as the aesthetical impairment, the surgical exploration found the tumor attached to the cervical plexus. The excision of the mass was performed without damaging nerve. The pathological study was in favor of a plexiform neurofibroma.
Discussion
Even though Plexiform cervical neurofibroma are extremely rare, and their diagnosis are not often primary evoked in front of any growing mass of this region, the surgeon must keep in mind the existence of these neoplasms as a differential diagnosis of a neck tumor.
Conclusion
Surgery remains the gold standard in the treatment of these locally invasive tumors. It is essential that the surgeon keep in mind the possibility of these tumors as a differential diagnosis of a neck tumor.
Actinomycosis is a rare, chronic, and slowly progressive granulomatous disease caused by Gram positive anaerobic bacteria. Actinomycosis of the head and neck is an uncommon and frequently misdiagnosed, actinomycosis can mimic many other diseases, including neoplasms, and the diagnosis may be difficult to establish. The following study reports a 70-year-old man with a painful ulcerations of the oral cavity for 6 months, he had been a smoker for 18 years; In addition, the patient had been diagnosed with epidermoid carcinoma of the lung 1 years previously, which was in remission after a radio chemotherapy. The diagnosis was confirmed by histopathological examination so he was treated with a regimen of oral ampicillin. Histopathological examination is the most reliable diagnostic tool to define the diagnosis. A high diagnostic index of suspicion for actinomycosis when ulcérative lesion of palate occurs benefits to the patient and the practitioner.
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