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Giant undifferentiated oropharyngeal sarcoma: a case report and review of the literature.

Sepúlveda I, Frelinghuysen M, García C, Platin E, Spencer ML, Ortega P, Ulloa D - Case Rep Oncol (2014)

Bottom Line: The mass was ovoid in shape, displaying moderate enhancement after intravenous contrast administration.Subsequently, a biopsy revealed the presence of undifferentiated sarcoma.The patient was treated with chemotherapy followed by radiation therapy, but follow-up exams at 6 months posttreatment revealed that while the tumor was stable, it persisted.

View Article: PubMed Central - PubMed

Affiliation: ENT-Head and Neck Surgery Service, General Hospital of Concepción, Santiago, Chile ; Finis Terrae University, School of Dentistry, Santiago, Chile.

ABSTRACT
We report on a patient who presented to the Ear, Nose and Throat (ENT) clinic with swelling of the neck, dysphagia, headache, dyspnea and stridor. Imaging studies revealed an expansive heterogeneous process to the left retropharyngeal region. The mass was ovoid in shape, displaying moderate enhancement after intravenous contrast administration. Subsequently, a biopsy revealed the presence of undifferentiated sarcoma. The patient was treated with chemotherapy followed by radiation therapy, but follow-up exams at 6 months posttreatment revealed that while the tumor was stable, it persisted. Consequently, the patient was enrolled in a palliative care and pain control program and is currently being followed.

No MeSH data available.


Related in: MedlinePlus

Axial CT after intravenous contrast injection: heterogeneous expansive process on the left retropharyngeal region involving the ipsilateral carotid space.
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Figure 1: Axial CT after intravenous contrast injection: heterogeneous expansive process on the left retropharyngeal region involving the ipsilateral carotid space.

Mentions: We report on a 30-year-old female patient who presented to the Ear, Nose and Throat (ENT) clinic complaining of neck swelling, progressive dysphagia of 7 months duration, headaches, dyspnea primarily during the evening and stridor. The patient had a history of allergic rhinitis. A clinical exam revealed a swelling process in the oropharyngeal region behind the left anterior pillar distorting the palatal area and producing a significant elongation of the isthmus. A CT was performed revealing a large expansive cervical process on the left retropharyngeal region. It was ovoid in shape, heterogeneous and displaying moderate enhancement following intravenous contrast injection (fig. 1, fig. 2). The medial border of the mass crossed the middle line into the right side involving the left carotid space and pterigoid muscles (fig. 3). It reached the base of the skull and the left arch of C1. Due to its size, existent ipsilateral lymphadenopathies with hypodense centers in the II, III and IV ganglionar levels as large as 20 mm were present.


Giant undifferentiated oropharyngeal sarcoma: a case report and review of the literature.

Sepúlveda I, Frelinghuysen M, García C, Platin E, Spencer ML, Ortega P, Ulloa D - Case Rep Oncol (2014)

Axial CT after intravenous contrast injection: heterogeneous expansive process on the left retropharyngeal region involving the ipsilateral carotid space.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4256001&req=5

Figure 1: Axial CT after intravenous contrast injection: heterogeneous expansive process on the left retropharyngeal region involving the ipsilateral carotid space.
Mentions: We report on a 30-year-old female patient who presented to the Ear, Nose and Throat (ENT) clinic complaining of neck swelling, progressive dysphagia of 7 months duration, headaches, dyspnea primarily during the evening and stridor. The patient had a history of allergic rhinitis. A clinical exam revealed a swelling process in the oropharyngeal region behind the left anterior pillar distorting the palatal area and producing a significant elongation of the isthmus. A CT was performed revealing a large expansive cervical process on the left retropharyngeal region. It was ovoid in shape, heterogeneous and displaying moderate enhancement following intravenous contrast injection (fig. 1, fig. 2). The medial border of the mass crossed the middle line into the right side involving the left carotid space and pterigoid muscles (fig. 3). It reached the base of the skull and the left arch of C1. Due to its size, existent ipsilateral lymphadenopathies with hypodense centers in the II, III and IV ganglionar levels as large as 20 mm were present.

Bottom Line: The mass was ovoid in shape, displaying moderate enhancement after intravenous contrast administration.Subsequently, a biopsy revealed the presence of undifferentiated sarcoma.The patient was treated with chemotherapy followed by radiation therapy, but follow-up exams at 6 months posttreatment revealed that while the tumor was stable, it persisted.

View Article: PubMed Central - PubMed

Affiliation: ENT-Head and Neck Surgery Service, General Hospital of Concepción, Santiago, Chile ; Finis Terrae University, School of Dentistry, Santiago, Chile.

ABSTRACT
We report on a patient who presented to the Ear, Nose and Throat (ENT) clinic with swelling of the neck, dysphagia, headache, dyspnea and stridor. Imaging studies revealed an expansive heterogeneous process to the left retropharyngeal region. The mass was ovoid in shape, displaying moderate enhancement after intravenous contrast administration. Subsequently, a biopsy revealed the presence of undifferentiated sarcoma. The patient was treated with chemotherapy followed by radiation therapy, but follow-up exams at 6 months posttreatment revealed that while the tumor was stable, it persisted. Consequently, the patient was enrolled in a palliative care and pain control program and is currently being followed.

No MeSH data available.


Related in: MedlinePlus