Desmoid tumor or deep fibromatosis (ICD O – 8821/1) is rare neoplasm from fibroblasts and myofibroblasts constituting approx. 3% of all soft tissue tumors.The morbidity is estimated at 2.4 to 4.5 cases per 1 million annually.The abdominal cavity is affected in the majority of cases,while only 7–15% of cases are diagnosed with head and neck tumors.The autors present a case of 41-year old woman in whom the final histopathological diagnosis was extremely difficult.The clinical presentation,imaging work-up and tumor location in the present case report were suggestive of the parotid gland as the primary location of the lesion. Contrast-enchanced CT,sonography and fine needle aspiration biopsy were sugestive of a mixed tumor (tumor mixtus), in MRI suggested that other benign and malignant lesions should also be considered. Histopathological examination of the removed tumor was suggestive of nodular fasciitis.It was suggested that a reference center should be consulted in order to rule out spindle cell sarcoma with low-grade malignancy potential. Result of the examination after consultation-desmoid fibromatosis. The treatment of desmoid tumor includes a surgery, adjuvant radiotherapy and systemic treatment including hormone therapy, chemotherapy and non-steroidal anti-inflammatory drugs.
Introduction: Comparision of hearing outcomes in patients with conductive hearing loss after surgical treatment should be standardized. In 1995 the Committee on Hearing and Equilibrium of the American Academy of Otolaryngology – Head and Neck Surgery published guidelines to standardize the reporting of treatment results in ossiculoplasty, stapes surgery, Meniere’s disease and schwannoma of the cerebellopontine angle. Despite the fact that the quality of presenting results significantly improved, some limitation remains. In 2012 Hearing Committee of the American Academy of Otolaryngology – Head and Neck Surgery published minimal standard of reporting hearing outcomes relating average pure-tone thresholds to word recognition score in scattegram. Aim: Authors present the results of surgical treatment of otosclerosis based on 46 cases treated at the Department of Otorhinolaryngology, Head and Neck Surgery, Medical University of Warsaw, Poland using the AAO-HNS guidelines from 1995 and 2012. The aim of the study was to evaluate the postoperative hearing results and to compare them with preoperative audiometric results and with similar reports published in the medical literature. Materials and methods: Retrospective analysis of medical history of patients with otosclerosis. Results: In this work the post-operative air bone gap ≤10 dB recognised as a very good result was obtained in 67.4% of patients. The post-operative air bone gap ≤20 dB, recognized as a good result was obtained in 89.1% patients. Conclusions: It is recommended to standardized the post-surgical audiometric data to compare the results among the different Departments.
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