Nuchal Fibroma: An Uncommon Neck Mass
Main Article Content
Abstract
Introduction
Nuchal fibroma or collagenosis nuchae is a rare benign tumour. It is a slow growing neoplasia of unknown etiogenesis, asymptomatic and of variegated histology. They are more common in males but our case was a female patient. The presentation may mimic sarcoma at times.
Case Report
An unusual case of a very large neck mass in a 62 years old female patient is reported. The growth involved the dorso-cervical region over a period of approximately 8 years but remained asymptomatic. The mass was excised and post excision histopathology was reported as nuchal fibroma.
Discussion
The case reported is large compared to the usual size of nuchal fibroma. Association with diabetes mellitus and Gardner’s syndrome has been reported in literature. MRI is the imaging of choice to establish the differential diagnosis.
Article Details
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References
Michal M, Fetsch JF, Hes O, Miettinen M. Nuchal- type fibroma: A clinicopathologic study of 52 cases. Cancer 1999; 85(1):156-63
Gong Y, Zhao X, Wu D, Liu J. Nuchal type fibroma of the shoulder ; A case report and review of literature. Oncol let. 2016; 11(6):4152-4
Shin JB, Son SW, Kim H. Nuchal type fibroma of the Coccyx. Ann Dermatol. 2008; 20 (1):41-4
Wehrli Bret M, Weiss Sharon W, Yandon Suzanne, Coffin Cheryl M. Gardner associated fibromas (GAF) in young patients : A distinct fibrous lesion that identifies unsuspected Gardner’s syndrome and risk of fibromatosis. Am J Surg Pathol. 2001; 25(5):645-51
Lee CC, Lai CS, Lin CH, et al. Extra nuchal – type fibroma associated with repetitive blunt trauma during religious activities. Trauma case reports 2016; 4:16-20
Ramezani M, Masnadjam M, Sadeghi M. Extranuchal-type Fibroma Mimicking Low Grade Sarcoma: A Case Report and Review of the Literature. Am J Cancer Prev. 2017; 5(1):17-20 doi: 10.12691/ajcp-5-1-3
Do HunKim, Tae Han Kim, Nam Hee Sung, Hyoseung Shin, Ai Young Lee, Seung Ho Lee. Multiple nuchal type fibroma on the scalp : A case report. Ann Dermatol. 2015; 27(2):194-6