Intramuscular myxoma: a rare neck mass in a child

Crankson, Stanley; Namshan, Mohammed Al; Mane, Khalid Al; Bamefleh, Hanaa

doi:10.1007/s00247-001-0603-5

Cited by 18 publications

(20 citation statements)

References 8 publications

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“…In the case described, the evolution of the pain was 5 years and the patient noted an enlarging mass over 1 year. In the cases of IM in the cervical paraspinal muscles reported by Shugar et al [17.] and Crankson et al [5], the clinical manifestation was a gradually enlarging non-painful mass in the posterior cervical region.…”

Section: Discussionmentioning

confidence: 99%

“…CT typically reveals a cystic-looking mass, as was this case, with an attenuation value greater than water, but less than surrounding normal muscle and no enhancement after intravenous administration of contrast medium [5,8,9]. On MRI, IM have sharp borders with homogeneous low-signal intensity, lower than skeletal muscle, on T1-weighted images and homogenous high intensity, brighter than fat, on T2-weighted images [1].…”

Section: Discussionmentioning

confidence: 99%

“…To our knowledge, there have been reported only ten cases of IM in the neck in literature [3-7, 9, 12, 14, 16, 17] (Table 1). Three of these cases were reported in the cervical paraspinal muscles [5,7,17]. The clinical manifestations of IM of the neck are non-specific, and it is difficult to diagnose the tumor before microscopical examination.…”

Section: Discussionmentioning

confidence: 99%

“…The clinical manifestations of IM of the neck are non-specific, and it is difficult to diagnose the tumor before microscopical examination. It is a slow-growing tumor and usually presents as a painless mass that may produce symptoms due to the compression of surrounding structures [5,7,17]. Only approximately 20% are painful [6].…”

Section: Discussionmentioning

confidence: 99%

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Intramuscular myxoma of the cervical paraspinal muscle

et al. 2009

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Myxoma is a neoplasm of mesenchymal origin composed of undifferentiated stellate cells in a myxoid stroma. This tumor can develop in a variety of locations. Myxomas that arise from skeletal muscles are called intramuscular myxomas. They usually occur in large skeletal muscles. Only ten cases of these benign tumors involving the neck muscles were reported in literature. Of them, only three were located at the paraspinal muscles. A 64-year-old woman presented with occiptal and neck pain over 5 years noted an expansive painful lesion located at posterior cervical region with progressive volume increase in the last 12 months. Image exams revealed a large mass located in the left posterior region of the neck in contact with the C2, C3 and C4 laminae with no invasion of the vertebrea. Tumor total removal was performed through normal muscle margins and the vertebral periosteum was scraped. The tumor was encapsuleted, lobulated with a gray-white appearance. The histological examination yielded the diagnosis of intramuscular myxoma. Follow-up at 1 year showed complete resolution of preoperative symptoms and no evidence of local recurrence. In conclusion, although rare, intramuscular myxoma should be included in differential diagnosis of cervical paraspinal tumors. We reported the fourth case of intramuscular myxoma in the paraspinal musculature of the neck. Despite its benign characteristics, local recurrence was reported after subtotal resection. Tumor total removal should be the goal of surgery.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Intramuscular myxoma of the cervical paraspinal muscle

et al. 2009

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“…3 Pahor and Samant (1994) found only 60 cases of soft tissue myxomas of the head and neck reported in the literature. 4 Since that study, there have been only 19 additional cases reported to date [5][6][7][8][9][10][11][12][13][14][15][16] (Table 1). In their study, Pahor and Samant presented the first case of a retropharyngeal soft tissue myxoma managed with a transcervical approach for resection.…”

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confidence: 99%

Transoral Resection of a Retropharyngeal Myxoma: A Case Report

White¹,

Weiss²,

Walvekar³

et al. 2011

Skull Base

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This study was conducted to describe a retropharyngeal myxoma and discuss clinical concerns regarding this pathology and a retropharyngeal site of occurrence. We present a case report and review of literature. A 71-year-old woman presented with mild right neck pressure for 3 weeks. Imaging studies and head neck examination confirmed a 5.3 Â 3.1 Â 1.0 cm retropharyngeal mass with no communication to the vertebral column but was intimately involved with the pharyngeal mucosa. A transoral fine needle aspiration biopsy suggested a possible spindle cell neoplasm. A presurgical swallowing consultation was obtained. A transoral excision of the tumor was possible with no intraoperative complications. Histopathology was a cellular myxoma. Postoperative dysphagia required swallowing therapy and nasogastric tube feeding for 2 weeks before oral intake was possible. The patient has no evidence of clinical or radiological recurrence more than 1 year after surgical intervention. We present the second case of a myxoma in the retropharynx reported in English literature. Transoral excision was safe, feasible, and cosmetically appealing option in our patient. Additional clinical data are required to valid its safety and utility as an approach to tumors in the retropharynx. Postoperative dysphagia can be significant and consequently we recommend preoperative swallowing evaluation and counseling.

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Intramuscular Myxoma Presenting as a Rare Posterior Neck Mass in a Young Child

Ishoo

2007

Arch Otolaryngol Head Neck Surg

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Intramuscular myxoma: a rare neck mass in a child

Cited by 18 publications

References 8 publications

Intramuscular myxoma of the cervical paraspinal muscle

Intramuscular myxoma of the cervical paraspinal muscle

Transoral Resection of a Retropharyngeal Myxoma: A Case Report

Intramuscular Myxoma Presenting as a Rare Posterior Neck Mass in a Young Child

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