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Turkish Archives of Otolaryngology 2005; 43(1): 32-36 Abstract |
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Full Text in Turkish [PDF] 399 KB |
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Aggressive Infantile Fibromatosis: A Case Report Agresif İnfantil Fibromatosis: Olgu Sunumu G. Eker Uluçay, M. Akan, V. Kadılar, T. Aköz |
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| Dr. Lütfi Kırdar Training and Research Hospital, Clinics of Plastic and Reconstructive Surgery, Istanbul, Turkey |
| Key Words |
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Aggressive infantile fibromatosis, recurrence, metastasis |
| Abstract |
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Aggressive
infantile fibromatosis encountered in infants and in childhood is an
aggressive, infiltrating, non-metastasizing disease characterized by a
benign neoplastic histology and has a tendency to recur locally when not
excised adequately. Because of local aggressiveness and a high rate of
recurrence, wide local excision must be performed by careful dissection
preserving major vital structures. The role of radiotherapy in
aggressive infantile fibromatosis has not been established, but cases of
tumor regression have been observed with chemotherapy. A one-year-old
boy was presented to our clinic with a congenital history of a mass in
the left neck region. A fine-needle aspiration biopsy was performed when
he was 3 months old in another institution and the result was
fibromatosis histologically. In our clinic we performed ultrasonography
and computerized tomography. The result of ultrasonography demonstrated
that the mass was 6.5x7x5 centimeter and there were multiple
lymphadenopathies greater than 1.5 centimeter in jugular chain and in
posterior cervical region. In CT of the cervical region a heterogenic
mass that originated from the sternocleidomastoid muscle was measured as
9x8x8 centimeter and it displaced the larynx to the right side. The mass
was excised totally and there was no recurrence in two years follow-up
period. Aggressive infantile fibromatosis must be always kept in mind in
the differential diagnosis in infants and children that present with a
cervical mass. |
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| Accepted after revision: | July 6, 2004 | ||
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Correspondence:
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Güniz Eker Uluçay, MD Emanet Sok. Sema Apt. No: 9 D: 10, Bostancı, İstanbul - Türkiye Phone: (0216) 416 86 88 e-mail: gunizeker@yahoo.com |
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Copyright © 2005 by the Turkish Otolaryngology & Head and Neck Surgery Foundation. |
