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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

MRI stir sequence: iso- to hyperintense mass decreasing the airway space.
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Figure 5: MRI stir sequence: iso- to hyperintense mass decreasing the airway space.

Mentions: In addition, MRI was performed, showing an expansive process partially delimited and possibly encapsulated (fig. 4, fig. 5) with heterogeneous enhancement following intravenous contrast administration (fig. 6). The presence of some weak signals was suggestive of vascular structures within the mass (fig. 7). The mass measured approximately 4.8 × 2.6 × 4.1 cm in size with a weak left paravertebral enhancement around the ipsilateral vertebral artery at the C1 level. A biopsy revealed an undifferentiated sarcoma (fig. 8, fig. 9). Due to respiratory difficulty, a tracheostomy was performed.


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)

MRI stir sequence: iso- to hyperintense mass decreasing the airway space.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 5: MRI stir sequence: iso- to hyperintense mass decreasing the airway space.
Mentions: In addition, MRI was performed, showing an expansive process partially delimited and possibly encapsulated (fig. 4, fig. 5) with heterogeneous enhancement following intravenous contrast administration (fig. 6). The presence of some weak signals was suggestive of vascular structures within the mass (fig. 7). The mass measured approximately 4.8 × 2.6 × 4.1 cm in size with a weak left paravertebral enhancement around the ipsilateral vertebral artery at the C1 level. A biopsy revealed an undifferentiated sarcoma (fig. 8, fig. 9). Due to respiratory difficulty, a tracheostomy was performed.

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