Hostname: page-component-8448b6f56d-xtgtn Total loading time: 0 Render date: 2024-04-24T05:27:50.298Z Has data issue: false hasContentIssue false

Tumefactive fibroinflammatory lesions of the head and neck

Published online by Cambridge University Press:  29 June 2007

A. J. N. Prichard*
Affiliation:
Department of Otolaryngology, Leicester Royal Infirmary.
P. Colloby
Affiliation:
Department of Pathology, Leicester Royal Infirmary.
R. P. E. Barton
Affiliation:
Department of Otolaryngology, Leicester Royal Infirmary.
J. M. Heaton
Affiliation:
Department of Otolaryngology, Leicester Royal Infirmary.
*
Department of Otolaryngology, Leicester Royal Infirmary, Leicester LE1 5WW.

Abstract

The term ‘tumefactive fibroinflammatory lesion’ has been usedto describe a fibrosclerosing disorder which has a locally destructive nature but is characterized by a benign histological appearance. We report five patients, over a five year period, with such a lesion.

The clinical behaviour and surgical findings suggest the lesion to be an invasive malignancy. However, the histological appearance of an admixtureof chronic inflammatory cells and fibrosis is consistent with a benign condition.

We recommend surgical excision of the lesion as the mainstay of treatment; other studies report the use of steroids and radiotherapy.

Type
Research Article
Copyright
Copyright © JLO (1984) Limited 1990

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Amorosa, L. F., Shear, M. K., Spierra, H. (1976) Multifocal fibrosis involving the thyroid face and orbits. Archives of Internal Medicine, 136: 221223.CrossRefGoogle ScholarPubMed
Arnott, E. J., Greaves, D. p. (1965) Orbital involvement in Riedel's thyroiditis. British Journal of Ophthalmology, 49: 15.CrossRefGoogle ScholarPubMed
Esdaile, J., Murray, D., Hawkins, D. (1980) Idiopathic fibrosis of the lateral compartment of the neck. Archives of Internal Medicine, 140: 13861387.CrossRefGoogle ScholarPubMed
Fujii, H., Fujisada, H., Takahashi, T., Okada, S. (1985) Orbital pseudotumour: histopathological classification and treatment. Ophthalmologica, Basel, 190: 230242.CrossRefGoogle ScholarPubMed
Hache, L., Woolmer, L. B., Bernatz, P. E. (1962) Idiopathic fibrous mediastinitis. Diseases of theChest, 41: 925.CrossRefGoogle ScholarPubMed
Hadley, J., Coady, A. T., Milford, C. A. (1990) Pseudotumour of the maxillary antrum. Journal of Laryngology and Otology, 104: 244247.CrossRefGoogle ScholarPubMed
Husband, P., Knudsen, A. (1976) Idiopathic cervical and retroperitoneal fibrosis; report of a case treated with steroids. Postgraduate Medical Journal, 52: 788793.CrossRefGoogle ScholarPubMed
Iversen, B. M., Johannesen, J. W., Nordahi, E. (1975) Retroperitoneal fibrosis during treatment with methyldopa. Lancet, 2: 302304.CrossRefGoogle Scholar
Jones, J. H., Ross, E. J., Matz, L. R. (1970) Retroperitoneal fibrosis. American Journal of Medicine, 48: 203208.CrossRefGoogle ScholarPubMed
Katz, S. M., Bates, O., Yudis, M. (1977) Immune complex glomerulonephritis in a case of retroperitoneal fibrosis. American Journal of Clinical Pathology, 67: 436439.CrossRefGoogle Scholar
Olsen, K. D., Dc Santo, L. W., Wold, L. E., Weiland, L. H. (1986) Tumefactive fibroinfiammatory lesions of the head and neck. Larfngoscope, 96: 940944.CrossRefGoogle ScholarPubMed
Rice, D. H., Batsakis, J. G., Coulthard, S. W. (1975) Sclerosing cervicitis: Homologue of retroperitonitis and mediastinitis. Archives of Surgery, 110:120122.CrossRefGoogle ScholarPubMed
Said, H., Razi-hadi, A., Noor Akmal, S., Lokman, S. (1988) Tumefactive fibroinflammatory lesion of the head and neck. Journal of Laryngology and Otology, 102: 10641067.CrossRefGoogle ScholarPubMed
Wold, L. E., Weiland, L. H. (1983) Tumefactive fibroinflammatory lesions of the head and neck. American Journal of Surgical Pathology, 7: 477482.CrossRefGoogle ScholarPubMed
Woolmer, L. B., McConahey, W. M., Beahrs, O. H. (1962) The surgical aspects of thyroiditis. American Journal of Surgery, 104: 666671.CrossRefGoogle Scholar