1
|
Alharthi FS, Alasmari KA, Alruwaili SH, Basuhail SM, Hamad TA. Rare Intramuscular Myxoma Involving the Pterygoid and Masseteric Muscles: A Case Report. Cureus 2023; 15:e49772. [PMID: 38164313 PMCID: PMC10758272 DOI: 10.7759/cureus.49772] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/30/2023] [Indexed: 01/03/2024] Open
Abstract
Myxomas, characterized by abundant mucoid stroma and spindle cells, represent a subset of benign soft tissue tumors. Intramuscular myxomas in the maxillofacial region are rare, posing diagnostic challenges. We present the case of a 58-year-old male who reported limited jaw movement. Physical examination revealed asymmetry, restricted mouth opening, and left lateral jaw movement. Imaging confirmed a well-defined myxomatous mass. Core needle biopsy confirmed an intramuscular myxoma involving the pterygoid and masseteric muscles. A multidisciplinary team opted for surveillance due to its benign nature. Follow-up at six months showed stable findings, supporting the decision for non-surgical management. This case highlights the diagnostic and management challenges of rare intramuscular myxomas in the maxillofacial region. A comprehensive diagnostic work-up, including clinical, radiological, and histopathological data, is crucial. Non-surgical management, guided by a benign nature, underscores the importance of judicious and multidisciplinary approaches. Regular follow-up contributes to understanding the natural history of intramuscular myxomas, emphasizing the need for vigilant monitoring in soft tissue tumor management.
Collapse
Affiliation(s)
| | | | | | | | - Tareq A Hamad
- Otolaryngology, Al-Adwani General Hospital, Ta'if, SAU
| |
Collapse
|
2
|
Kaibel Val R, Vázquez Echarri J, Kaibel Axpe I. Intramuscular myxoma in psoas muscle and in thigh. Cir Esp 2023; 101:577-579. [PMID: 37086839 DOI: 10.1016/j.cireng.2023.04.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/24/2023]
|
3
|
Tilaveridis I, Kalaitsidou I, Karakostas P, Tsavos I, Tilaveridou S, Hliopoulos M, Zarampouka K. Myxoma of the upper lip: a case report and brief review of the literature. J Surg Case Rep 2023; 2023:rjad269. [PMID: 37251249 PMCID: PMC10212666 DOI: 10.1093/jscr/rjad269] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2023] [Accepted: 04/25/2023] [Indexed: 05/31/2023] Open
Abstract
Myxomas are rare neoplasms of mesenchymal origin, which consist of many undifferentiated stellate and spindle-shaped cells in abundant loose myxoid stroma with collagen fibers. A 74-year-old patient presented in our oral and maxillofacial department with a slow growing mass within the upper lip. The mass was surgically excised in the toto, followed by a histological and immunohistochemical examination. The findings revealed that it was a myxoma. These tumors are very rare and should be included in the differential diagnosis of damage of the upper lip. As long as the myxoma is properly removed, there is no risk of recurrence.
Collapse
Affiliation(s)
- Ioannis Tilaveridis
- Department of Oral and Maxillofacial Surgery, School of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Ioanna Kalaitsidou
- Universitätsklinik für Schädel-, Kiefer- und Gesichtschirurgie, Inselspital, Universitätsspital Bern, Bern, Switzerland
| | - Panagiotis Karakostas
- Correspondence address. Department of Preventive Dentistry, Periodontology and Implant Biology, School of Dentistry, School of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece. E-mail:
| | - Ioannis Tsavos
- Department of Oral and Maxillofacial Surgery, School of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Sofia Tilaveridou
- Department of Oral and Maxillofacial Surgery, School of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Michael Hliopoulos
- Department of Oral and Maxillofacial Surgery, School of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Katerina Zarampouka
- Department of Pathology, Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece
| |
Collapse
|
4
|
Kaibel Val R, Vázquez Echarri J, Kaibel Axpe I. Mixoma intramuscular en psoas y en muslo. Cir Esp 2023. [DOI: 10.1016/j.ciresp.2023.02.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/03/2023]
|
5
|
Chauhan K, Manjunatha BS, Mehendiratta M, Lakhanpal M. Oral soft-tissue myxoma. BMJ Case Rep 2023; 16:e251035. [PMID: 36599490 DOI: 10.1136/bcr-2022-251035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023] Open
Abstract
Oral soft-tissue myxomas of the oral cavity have been sparsely cited in the medical literature worldwide. This could be due to other clinically and/or histologically similar lesions requiring accurate differential diagnosis by experienced physicians and pathologists. Although myxomas are benign and do not metastasise, they have higher rates of recurrence and deserve proper attention and to be reported as well. Soft-tissue myxomas of the oral cavity are extremely rare and very few cases have been reported in the literature. The article describes a soft-tissue myxoma in a male patient in his 40s and review of published cases.
Collapse
Affiliation(s)
- Keerti Chauhan
- Oral and Maxillofacial Pathology, ITS Dental College Hospital and Research Centre, Greater Noida, Uttar Pradesh, India
| | | | - Monica Mehendiratta
- Department of Oral Pathology and Microbiology, ITS Dental College Hospital and Research Centre, Greater Noida, Uttar Pradesh, India
| | - Manisha Lakhanpal
- Oral Medicine and Radiology, ITS Dental College Hospital and Research Centre, Greater Noida, Uttar Pradesh, India
| |
Collapse
|
6
|
Intramuscular Myxoma of the Intrinsic Muscles of the Tongue: A Case Report with Literature Review. Case Rep Dent 2022; 2022:7067949. [PMID: 36276237 PMCID: PMC9581627 DOI: 10.1155/2022/7067949] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2022] [Revised: 07/21/2022] [Accepted: 07/29/2022] [Indexed: 01/24/2023] Open
Abstract
Myxoma is a benign tumor of mesenchymal origin. It frequently occurs in the muscles of the hip and extremities; however, it rarely occurs in the head and neck region. This report describes the second case of an intramuscular myxoma of the tongue. A 23-year-old woman was referred to our institution for the diagnosis and treatment of a left tongue lesion. T2-weighted magnetic resonance imaging revealed an 8 × 6-mm mass in the tongue. Based on a clinical diagnosis of a tongue tumor, excisional biopsy was performed under general anesthesia. The histopathological diagnosis was an intramuscular myxoma. The postoperative course was uneventful, and there was no evidence of tumor recurrence 3 years after surgery.
Collapse
|
7
|
Clements MA, Gallagher S, Herrmann GE. Unexplained Gait and Balance Changes: A Case Report of Myxoma Mitigation in a Breast Reduction Patient. Workplace Health Saf 2022; 70:298-301. [PMID: 35341402 DOI: 10.1177/21650799211070734] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
In Fall 2020, a female physical therapist (PT) developed mild changes in gait, infrapatellar tendon pain, and lateral patellar tracking. As a PT in good physical condition, she did not access her employer's occupational health clinic but instead she self-treated. Two months after symptom onset and self-treatment, she was diagnosed with an intramuscular myxoma within her left vastus lateralis, the largest muscle within the quadricep. The employee was at risk of slips, trips, and falls as the mass grew. Due to the location and increasing size of the mass, the employee required surgical treatment. Healthcare workers, particularly those who provide treatment, are likely to self-treat rather than seek assistance from the occupational health professional. The employee was seen by a plastic surgeon for an unrelated medical condition which is when the myxoma was diagnosed. Further delay may have led to occupational injury associated with the balance and gait disturbances. Opportunity exists for the occupational health professional to provide a review of services, including screening for musculoskeletal changes associated with occupational injury such as those described herein. This is especially important among those healthcare workers who tend to self-treat.
Collapse
|
8
|
A Case of Myxoma Arising in the Buccal Mucosa. Case Rep Dent 2021; 2021:1358481. [PMID: 34434584 PMCID: PMC8382542 DOI: 10.1155/2021/1358481] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2021] [Accepted: 08/06/2021] [Indexed: 11/17/2022] Open
Abstract
Myxomas arising in the oral and maxillofacial areas are extremely rare. This study reports a case of myxoma arising in the soft tissue beneath the buccal mucosa of an 86-year-old man.
Collapse
|
9
|
Mijalis EM, Manzi B, Cuellar H, Nathan CAO. Intramuscular myxoma of the longus colli mistaken for a cervical rootlet schwannoma. BMJ Case Rep 2021; 14:14/2/e239106. [PMID: 33541994 PMCID: PMC7868242 DOI: 10.1136/bcr-2020-239106] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
An 86-year-old woman was referred to the otolaryngology clinic for a 1-year history of a painless, slow-growing neck mass. Physical examination showed a fixed, immobile right level II neck mass with normal vocal cord movement. MRI demonstrated a lobulated mass laterally displacing the carotid vessels, consistent with a schwannoma. Despite the pathognomonic radiographic findings for schwannoma, core needle biopsy of the mass was consistent with intramuscular myxoma (IM), which rarely presents in the head and neck region. After multiple years of slow growth with bulging into the pharynx, the patient ultimately underwent surgery to reduce the risk of airway compromise. The location of this IM together with its unusual imaging appearance is a unique finding in the head and neck and adds to the differential diagnoses for neck masses displacing the carotid sheath.
Collapse
Affiliation(s)
| | - Brian Manzi
- Department of Otolaryngology – Head and Neck Surgery, Louisiana State University Health Sciences Center Shreveport, Shreveport, Louisiana, USA
| | - Hugo Cuellar
- Department of Radiology, Louisiana State University Health Sciences Center Shreveport, Shreveport, Louisiana, USA
| | - Cherie Ann O Nathan
- Department of Otolaryngology – Head and Neck Surgery, Louisiana State University Health Sciences Center Shreveport, Shreveport, Louisiana, USA
| |
Collapse
|