g princ f heran facial and neck bumps what do you think jfim 2014
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LEFTINTRAMASSETERLIPOMA
TsumurayaG,YamadaH,ShimizuH,HamadaYIntramuscularlipomainthemassetermuscle:acasereport.BrJOralMaxillofacSurg.2014Apr;52(4):e21-3.doi:10.1016/j.bjoms.2014.01.013.Epub2014Feb17.
Youngmancomplainingofapainlessfocalbulgingofthele3angleofthejaw.Notrauma,knownforalong;me…butdoesn’tfeetanymorethelonghair.MRIrequested(presurgeryevalua;on).
Thisisthefirstreporttoourknowledgeofanintramuscularlipomathataroseinthemassetermuscle…..Theyarejoking!
MYQUESTION:HOWDOYOUTREATTHISLESION?
LipomasandlipomavariantscommonsofttissuetumorsRareintheoralandmaxillofacialregion.¾MaleParotidregion>buccalmucosa>lip>submandibularregion>tongue>palate>floorofmouth>vestibuleAsymptomatic,circumscribedmassHistology:20%intramuscular.classiclipomas,spindlecell/pleomorphiclipomas,chondroidlipoma.Secondarychanges:fatnecrosis,atrophy,andprominenthyalinization,shouldnotbeconfusedwiththemalignanthistologicfeaturesofaliposarcoma.
FurlongMA,Fanburg-SmithJC,ChildersELLipomaoftheoralandmaxillofacialregion:SiteandsubclassificaFonof125cases.OralSurgOralMedOralPatholOralRadiolEndod.2004Oct;98(4):441-50.
YoungwomanwithahistoryofpainlessmasslocatedneartheleWangleofthejaw,withincreasedvolumeduringteethclenching
Intramuscularhemangioma(HM):congenitalhamartomatousneoplasm,proliferaFonofbenignvascularchannels.1%ofallHM20%ofintramuscularHM:locatedintheheadandneckmuscles(masseter,trapezius).OWenyoungmale(<30yo).MRI:highHST2,punctuateorreFculatelowsignalonT1andT2,focciofverylowsignal(phleboliths).Heterogenousenhancement.
Intramuscularcavernoushemangiomaarisingfromthemassetermuscle.RighiniCA,BertaE,AtallahI.EurAnnOtorhinolaryngolHeadNeckDis.2014Feb;131(1):57-9
2013
Youngboywithbrackets,undergoingasystemaFccontrol.Progressiveswellingtherightcheek.Pretreatmentandrecentdentalpanoramicradiography
2014
epithelial-linedstructuresderivedfromodontogenicepithelium.
PeriapicalcystDentigerouscyst
well-demarcatedradiolucentlesionattachedatanacuteangletothecervicalareaofanuneruptedtooth
patientatriskforpathologicjawfractureprimordialcyst
DevelopsinsteadofatoothResidualcystLateralperiodontalcystGingivalcystOdontogenickeratocyst(keratocysticodontogenictumor)
Aggressive,difficulttoremove.Gorlinsydrome
Basalcellnevussyndrome
PainlessfocalswellingoftheleWcheekforafewweeksaccordingtothepaFent.CouldbepresentforalongFme??Shedoesn’tknow.MRIisperformed.
PLEOMORPHICADENOMA
LesionoftheparoFdgland,evenifcystlike:diffusion,injecFon
CapaccioP,CuccariniVOcavianiFMinoradD,SambataroG,CornalbaPPignataroLComparadveultrasonographic,magnedcresonancesialographic,andvideoendoscopicassessmentofsalivaryductdisorders.AnnOtolRhinolLaryngol.2008Apr;117(4):245-52.
T1GdFATSAT
MrsT,62YOcomplainsofsmallareasofswellingappearedtwomonthsago,moreobviousontherightside.Shehasnohistoryoftrauma,andgeneralexaminaFonisotherwisenormal.
T1
SchatzCJ,GinatDTImagingofcosmeticfacialimplantsandgrafts.AJNRAmJNeuroradiol.2013Sep;34(9):1674-81.doi:10.3174/ajnr.A3214.Epub2012Aug9.
DainesSM,WilliamsEFComplicadonsassociatedwithinjectablesog-dssuefillers:a5-yearretrospecdvereview.JAMAFacialPlastSurg.2013May;15(3):226-31.doi:10.1001/jamafacial.2013.798.
Complicationsassociatedwithinjectablesoft-tissuefillerhyaluronicacidpoly-L-lacticacidcalciumhydroxylapatite.
0,8%complicationsmostcommonnoduleorgranulomaformation.calciumhydroxylapatite:highestcomplicationrate.Maindifferentialdiagnosis:lowerlidlymphomaDiffusion,injection.
Dermoidcysts:variationofteratomasarisefromentrapmentofepithelialremnantseither
DuringclosureofthebranchialarchesAsaresultoftrauma.
Floorofthemouth=1/5oftheheadandneckdermoidcystsètongueelevation,submentalprotrusion,orboth.youngpersons,Differentialdiagnosis
lipoma,branchialcleftcyststhyroglossalductcysts
BaligaM,ShenoyN,PoojaryD,MohanR,NaikREpidermoidcystofthefloorofthemouth.NatlJMaxillofacSurg.2014Jan;5(1):79-83.
MrsV,36YOhasachronicswellingofthefloorofthemouthcombinedwitharecentbulgingoftherightsubmentalarea.MRIisperformed.
T1
LiJ,LiJCorrectdiagnosisforplungingranulabymagneFcresonanceimaging.AustDentJ.2014Jun;59(2):264-7.
Plungingranularare:mucousextravasationextendingthroughorbehindthemylohyoidmuscle.swellinginthesubmentalorsubmandibularregionsduetodisruptionofexcretorysublingualglandducts.Definitivetreatment:
ResectionoftheipsilateralsublingualglandEvacuationofthecyst
Differentialdiagnosis
AbscessesThyroglossalcystorsimplecystsLipoma.Secondbranchialcleftcyst
AgarwalAK,KanekarSGSubmandibularandsublingualspaces:diagnosticimagingandevaluation.OtolaryngolClinNorthAm.2012Dec;45(6):1311-23.doi:10.1016/j.otc.2012.08.005.
SECONDBRANCHIALCLEFTCYST
RaretypeofpanniculiFs(inflammatorydiseaseofthesubcutaneousfakyFssue).AcuterelapsingepisodeswithunknowneFology,feverwithchillsoffandon,arthralgia,generalsymptoms
WEBER-CHRISTIANSYNDROME
.NegalurVG,NegalurBVWeberChristiandisease.JAssocPhysiciansIndia.2003Jul;51:724-5
RareEthiopathogeny?Neurologiqalsymptomes:seizuresMRI:sometimesatrophyorwhitematterhyperintensity(localizedmeningoencephalitiswithvascularinvolvement?)OtherdiagnosisSclerodermia.
PARRYROMBERGSYNDROME
Parry-Rombergsyndrome:intracranialMRIappearances.JCraniomaxillofacSurg.2003Oct;31(5):321-4.MokoSBMistryYBlandindeChalainTM
EtiologysuggestedTemporomandibulardisorders,GumchewingPsychologicaldisordersincludinganxiety
Differentialclinicaldiagnosisparotidglanddiseasesdentalandjawpathology,muscletumorsandintrinsicmassetermusclemyopathy