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Kim J, Johnson BR, Tamaki A, Lavertu P. A case report of uremic tumoral calcinosis in the head and neck and literature review of calcified lesions of the head and neck. Am J Otolaryngol 2023; 44:103862. [DOI: 10.1016/j.amjoto.2023.103862] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2023] [Accepted: 03/19/2023] [Indexed: 03/30/2023]
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Zhang X, Zhu X, Li J, Liu N, Li Q, Su X. Fine needle aspiration of giant cell tumor involving thyroid gland: A case report of an unprecedented entity. Diagn Cytopathol 2018; 46:879-882. [PMID: 30146712 DOI: 10.1002/dc.24053] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2018] [Revised: 07/07/2018] [Accepted: 07/10/2018] [Indexed: 02/05/2023]
Affiliation(s)
- Xiaorong Zhang
- Department of Pathology; West China Hospital of Sichuan University; Chengdu China
- Department of Pathology; Affiliated Hospital of Jiujiang University; Jiujiang China
| | - Xianglan Zhu
- Department of Pathology; West China Hospital of Sichuan University; Chengdu China
| | - Jinnan Li
- Department of Pathology; West China Hospital of Sichuan University; Chengdu China
| | - Nian Liu
- Department of Pathology; West China Hospital of Sichuan University; Chengdu China
| | - Qiyuan Li
- Department of Pathology; West China Hospital of Sichuan University; Chengdu China
| | - Xueying Su
- Department of Pathology; West China Hospital of Sichuan University; Chengdu China
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Abstract
Giant cell tumor of the larynx is a rare tumor. It was first reported by Wessely et al in 1940. Thirty-nine cases have been reported until now and together with the current case 2 recurrences were encountered. In this case report, our aim was to discuss conservative management because of the suspicion of recurrence. A 70-year-old male patient was admitted to our clinic with the complaint of hoarseness. A tumor measuring 1 × 1 cm located in the anterior half right vocal fold and extending to the anterior comissure was found on laryngeal endoscopy. Direct laryngoscopy and biopsy of the mass revealed giant cell tumor on histopathological examination. Tumor resection with cordectomy through laryngofissure and subsequently medialization thyroplasty were performed. Horaseness of the patient improved. On 2-year follow-up, a tumoral lesion suggesting recurrence was found on the vocal cord. Direct laryngoscopy and biopsy confirmed recurrence. Total laryngectomy was performed. This is the second case of recurrent giant cell tumor of the larynx. The therapy of choice should be selected considering the possibility of recurrence.
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Ren R, Mueller S, Kraft AO, Powers CN. Giant cell tumor of temporomandibular joint presenting as a parotid tumor: Challenges in the accurate subclassification of giant cell tumors in an unusual location. Diagn Cytopathol 2017; 46:340-344. [PMID: 29193882 DOI: 10.1002/dc.23848] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2017] [Revised: 10/08/2017] [Accepted: 10/10/2017] [Indexed: 01/02/2023]
Abstract
Fine needle aspiration is frequently used as the initial diagnostic procedure in the work-up of head and neck lesions, including soft tissue masses and salivary gland neoplasms. Giant cell tumors (GCTs), both osseous and extraosseous, are benign tumors that occur, albeit rarely, in the head and neck region. Extraosseous GCTs may be further classified based on their tissue of origin and specific anatomic location. Regardless of location, giant cell tumors are morphologically similar and share cytologic and histologic diagnostic criteria. Evaluation of imaging is therefore essential to the correct classification of these tumors. Accurate diagnosis is crucial since the clinical behavior and treatment is significantly different among the subtypes of GCTs. The case presented herein illustrates the diagnostic dilemma between two uncommon entities in an unusual site: GCT of parotid gland and tenosynovial GCT.
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Affiliation(s)
- Rongqin Ren
- Department of Pathology, Virginia Commonwealth University Health System, Virginia
| | - Sandra Mueller
- Petroglyph Pathology Services, LLC, Rio Rancho 87124, New Mexico
| | - Adele O Kraft
- Department of Pathology, Virginia Commonwealth University Health System, Virginia
| | - Celeste N Powers
- Department of Pathology, Virginia Commonwealth University Health System, Virginia
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Saud MRM, Salahuddin Z, Hassan A, Yunus MRM, Mohamad I, Zulkifli MM. Laryngeal giant cell tumour presenting as a tongue base lesion causing severe dysphagia. J Taibah Univ Med Sci 2017; 13:201-204. [PMID: 31435324 PMCID: PMC6695023 DOI: 10.1016/j.jtumed.2017.10.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2017] [Revised: 10/14/2017] [Accepted: 10/15/2017] [Indexed: 11/30/2022] Open
Abstract
Giant cell tumours are benign lesions that are uncommonly found in the larynx. Patients with these tumours may present with dysphagia, hoarseness and anterior neck swelling. Giant cell tumours are extremely rare and only a few cases have been reported. We present a case of an elderly woman who presented with severe dysphagia and a mass at the base of her tongue. The mass was found to be a laryngeal giant cell tumour and was successfully treated with chemotherapy.
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Affiliation(s)
- Mohd Razi M Saud
- Department of Otorhinolaryngology-Head & Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
| | - Zulkiflee Salahuddin
- Department of Otorhinolaryngology, Hospital Raja Perempuan Zainab II, Kota Bharu, Kelantan, Malaysia
| | - Aniza Hassan
- Department of Pathology, Hospital Raja Perempuan Zainab II, Kota Bharu, Kelantan, Malaysia
| | - Mohd Razif M Yunus
- Department of Otorhinolaryngology-Head & Neck Surgery, Faculty of Medicine, Universiti Kebangsaan Malaysia, Bandar Tun Razak, Kuala Lumpur, Malaysia
| | - Irfan Mohamad
- Department of Otorhinolaryngology-Head & Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
| | - Maryam M Zulkifli
- Department of Family Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
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Arndt A, LeBlanc R, Spafford P. A large giant cell tumor of the larynx: case report and review of the literature. J Otolaryngol Head Neck Surg 2017; 46:26. [PMID: 28376853 PMCID: PMC5379533 DOI: 10.1186/s40463-017-0198-y] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2016] [Accepted: 03/13/2017] [Indexed: 01/06/2023] Open
Abstract
BACKGROUND Giant cell tumors (GCTs) are typically found in the metaphyseal-epiphyseal area of long bones but can also occur in the head and neck region. GCT of the larynx is a rare entity with only 42 reported cases in the international literature. Furthermore, to the best of our knowledge this is the largest laryngeal GCT reported in the literature to date. GCT of the larynx can present with dysphonia, dyspnea, and/or dysphagia and should be considered in the differential diagnosis of a neck mass. CASE PRESENTATION This case report describes a giant cell tumor of the left thyroid cartilage in a 30-year-old man who initially presented with dysphonia and dysphagia. Computed tomography (CT) revealed a 5 × 5.7 cm mass centered on the left thyroid cartilage, which was further diagnosed by histopathology as giant cell tumour by open biopsy. The patient was counselled on treatment options and it was decided to proceed with a surgical approach. The patient consented to and successfully underwent a total laryngectomy (TL). Currently the patient has no evidence of disease at 13 months follow-up, has an optimal prosthetic voice, and is able to tolerate all textures of foods. CONCLUSION GCTs of the larynx have a good prognosis and can be treated successfully through complete resection of the tumor, negating the need for adjunctive therapy such as radiation, chemo or denosumab therapy.
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Affiliation(s)
- Andrew Arndt
- College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada
| | - Rachelle LeBlanc
- College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada
| | - Peter Spafford
- Clinical Professor and Division Head: Otolaryngology - Head & Neck Surgery, College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
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Shen Y, Ma C, Wang L, Li J, Wu Y, Sun J. Surgical Management of Giant Cell Tumors in Temporomandibular Joint Region Involving Lateral Skull Base: A Multidisciplinary Approach. J Oral Maxillofac Surg 2016; 74:2295-2311. [DOI: 10.1016/j.joms.2016.04.009] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2016] [Revised: 04/02/2016] [Accepted: 04/06/2016] [Indexed: 12/12/2022]
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Iida E, Furukawa M, Matsunaga N, Anzai Y. MRI of giant cell tumour of larynx: marked T 2 hypointensity due to abundant haemosiderin deposition. BJR Case Rep 2016; 2:20150388. [PMID: 30459976 PMCID: PMC6243354 DOI: 10.1259/bjrcr.20150388] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2015] [Revised: 01/20/2016] [Accepted: 02/05/2016] [Indexed: 11/25/2022] Open
Abstract
Giant cell tumours (GCTs) are benign tumours commonly found in the long bones. Rarely, they may occur in the larynx, often resulting in hoarseness and anterior neck swelling. Since Wessely reported the first case of laryngeal GCT in 1940, 35 cases have been identified. Herein, we present a case of a 53-year-old male with GCT of the larynx that showed T1 and T2 hypointense signal on MRI, presumably owing to abundant haemosiderin deposition. We also discuss the imaging findings of CT and 18F-fludeoxyglucose positron emission tomography scans, as well as the pathological correlation.
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Affiliation(s)
| | - Matakazu Furukawa
- Department of Radiology, Yamaguchi University, Graduate School of Medicine, Yamaguchi, Japan
| | - Naofumi Matsunaga
- Department of Radiology, Yamaguchi University, Graduate School of Medicine, Yamaguchi, Japan
| | - Yoshimi Anzai
- Department of Radiology, University of Utah Health Sciences Center, Salt Lake City, UT, USA
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Giant Cell Tumor of the Larynx Treated by Surgery and Adjuvant Denosumab: Case Report and Review of the Literature. Head Neck Pathol 2015; 9:447-52. [PMID: 25750098 PMCID: PMC4651920 DOI: 10.1007/s12105-015-0622-4] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/04/2015] [Accepted: 03/05/2015] [Indexed: 10/23/2022]
Abstract
Giant cell tumor of the larynx (GCTL) is a rare entity; only 34 cases have been reported in the literature. We report a case of GCTL in a 46 year-old male presenting clinical, radiographic, histological and therapeutic features. Previously reported cases are also reviewed.
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Nota J, Okochi Y, Watanabe F, Saiki T. Laryngeal giant cell tumor: a case report and review of the literature. Case Rep Otolaryngol 2014; 2014:503497. [PMID: 24955269 PMCID: PMC4052065 DOI: 10.1155/2014/503497] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2014] [Accepted: 05/02/2014] [Indexed: 11/17/2022] Open
Abstract
Giant cell tumor (GCT) is a benign neoplasm arising most commonly in the long bones. GCTs of the larynx (GCTL) are relatively rare, and only individual case reports are documented in the literature. Patients with such tumors may present with hoarseness and anterior neck swelling. We present a 59-year-old man with hoarseness and enlarging anterior neck mass for 3 months. A fiberscopy revealed a submucosal swelling of the left subglottic trachea. Computed tomography and magnetic resonance imaging of the larynx demonstrated a large, well-defined, inhomogeneous enhancing mass at the left thyroid cartilage, which was obstructed entirely. The anterior neck mass was biopsied for histopathological analysis, which showed multinodularity with intervening vascularized connective tissues. The mass was made up of mononuclear cells and distributed multinucleated giant cells. The mitotic activity of the mononuclear cells was as high as 6 per 10 high-power fields. Pathologic consultation resulted in a diagnosis of giant cell tumor. The patient underwent total laryngectomy and, postoperatively, he did well without recurrence or metastasis for two and a half years.
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Affiliation(s)
- Jumpei Nota
- Department of Otorhinolaryngology, Steel Memorial Hirohata Hospital, 3-1 Yumesaki-cho, Hirohata-ku, Himeji-shi, Hyogo 671-1122, Japan
| | - Yoshihisa Okochi
- Department of Otorhinolaryngology, Steel Memorial Hirohata Hospital, 3-1 Yumesaki-cho, Hirohata-ku, Himeji-shi, Hyogo 671-1122, Japan
| | - Futoshi Watanabe
- Department of Otorhinolaryngology, Steel Memorial Hirohata Hospital, 3-1 Yumesaki-cho, Hirohata-ku, Himeji-shi, Hyogo 671-1122, Japan
| | - Tadahiko Saiki
- Department of Otorhinolaryngology, Steel Memorial Hirohata Hospital, 3-1 Yumesaki-cho, Hirohata-ku, Himeji-shi, Hyogo 671-1122, Japan
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Wu CJ, Wu PH, Chu ST, Yu WW, Chen PC. Features of a giant cell tumour of the parotid gland: A case report. Oncol Lett 2013; 6:829-832. [PMID: 24137419 PMCID: PMC3788856 DOI: 10.3892/ol.2013.1462] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2013] [Accepted: 07/05/2013] [Indexed: 11/12/2022] Open
Abstract
A giant cell tumour (GCT) is a benign tumour that commonly arises in the distal end of the long bones. Extraosseous GCTs have been reported in a number of organs, but it is rare for a GCT to present in the parotid gland. Therefore, primary GCTs of the parotid gland (GCTPs) are extremely rare. Although GCTPs have been identified as benign soft-tissue tumours, they have a highly malignant potential and poor prognosis. In the present case, we report a 58-year-old male patient presenting with non-tender mass over the left preauricular area for 11 months. The final pathology report revealed a rare case of a GCTP that was treated by parotidectomy and adjuvant radiation therapy. The patient had no recurrence after 2 years of follow-up.
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Affiliation(s)
- Cheng-Jung Wu
- Department of Otolaryngology - Head and Neck Surgery, Kaohsiung Veterans General Hospital, Kaohsiung 81362, Taiwan, R.O.C. ; Institute of Clinical Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan, R.O.C
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Rochanawutanon M, Praneetvatakul P, Laothamatas J, Sirikulchayanonta V. Extraskeletal giant cell tumor of the larynx: case report and review of the literature. EAR, NOSE & THROAT JOURNAL 2011; 90:226-30. [PMID: 21563092 DOI: 10.1177/014556131109000509] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022] Open
Abstract
Giant cell tumors of the larynx typically arise within the laryngeal skeleton. We report a case of a laryngeal tumor in a 29-year-old man that clearly originated outside the laryngeal cartilage. It was identified as a soft-tissue giant cell tumor. To the best of our knowledge, an extraskeletal laryngeal giant cell tumor has not been previously reported.
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Affiliation(s)
- Mana Rochanawutanon
- Department of Pathology, Faculty of Medicine, Ramathibodi Hospital, Bangkok, Thailand.
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