No abstract

We present our experience with a very large painless slowly growing neck mass extending from mid neck to the clavicle displacing the trachea to the other side. FNA and incisional biopsy did not confirm the diagnosis. A complete excision of the lesion with the invaded internal jugular vein confirms the diagnosis of Aggressive Fibromatosis. Different modalities of the treatment will be discussed.

Bunionette is a deformity that presents in a lateral prominence of the fifth metatarsal head, resulting in a callus on the plantar side or the lateral side. It has a higher frequency in female subjects than in male subjects; research has shown that it is three to six times higher in females than in males [1]. There is the absence of exostosis of the metatarsal head, just as in hallux valgus, but instead lateral migration, at times linked with a morphologic abnormality. M.J. Coughlin clearly distinguished the three types of bunionettes based on the work of H.L. Du Vries, with type 1 associated with a prominent lateral condyle and an increased fifth metatarsal head volume (16 -33%); type 2 characterized by bow deformity causing the lateral condyle to become significantly prominent (10%); while type 3 is characterized by a high fourth metatarsal-fifth metatarsal angle without any distal fifth metatarsal deformity (57 -74%) [2,3]. There may be congenital varus overlap of the fifth toe, in supraductus or infraductus. Osteochondromas are very common bone tumors with a 30 -40% incidence rate [4]. These tumors are benign and are believed to be caused by a perichondral congenital defect [4]. The lesions occur close to the growth plates of long bones and in most cases,