Management of late presenting giant benign tumours of head and neck

Abstract

Various benign tumours of the head and neck presents commonly to the Otorhinolaryngologists in their day to day practice, but their very late presentations, due to neglect by the patient, with a history of 10 to 15 years old tumours in the respective cases as discussed below, are rare. Surgery of these large variant of tumours are a challenge to us. Here we discuss 3 such case reports of very unusual benign tumours of the head and neck along with a brief discussion of the operative steps and a brief review of literature respectively.

The patterns of head and neck tumours in Northern Ghana: a histopathological review in a tertiary referral hospital in Northern Ghana

“…15 In this study, HNTs were common within the age group 40-49 (11.6%) years and this differs from studies that reported the peak age group among relatively older individuals. [14][15][16] For instance, Bhargava et al reported a peak of 55-64 years (23.7%) in their study. 14 Head and neck tumours in the Tamale study were slightly (53.6%) common among females, similar to reports of previous studies, but differs from others studies.…”

“…3,12 This pattern differs from other previous studies. [14][15][16] For instance, Bhargava et al reported the anatomical sites of HNTs as oral cavity (56.2%), skin (9.2%), hypopharynx (8.4%), salivary gland (5.8%), soft tissue (4.7%), maxillary sinus (3.7%) and oropharynx (3.2%). 14 Roychoudhury et al in their study, reported the common sites as; oral cavity (37.5%), thyroid (17%), larynx (16%), salivary gland (10.7%), face (89%) and mastoid (3.5%).…”

“…14 Roychoudhury et al in their study, reported the common sites as; oral cavity (37.5%), thyroid (17%), larynx (16%), salivary gland (10.7%), face (89%) and mastoid (3.5%). 16 The top common histopathological subtypes of HNTs in descending of frequency were: squamous papilloma (13.9%), squamous cell carcinoma (12.8%), salivary gland pleomorphic adenoma (9.4%), benign vascular tumour (9.2%), benign cystic bony lesion (6.1%), fibrous dysplasia (5.2%), lipoma (4.9%), olfactory neuroblastoma (3.5%), spindle cell sarcoma (3.0%) and nasopharyngeal carcinoma (2.6%). The order reported in the current study in northern Ghana differs from Roychoudhury et al who observed the following pattern; squamous cell carcinoma, follicular thyroid adenoma, salivary gland pleomorphic adenoma, papillary thyroid carcinoma, adenoid cystic carcinoma, basal cell carcinoma and capillary haemangioma.…”

“…The order reported in the current study in northern Ghana differs from Roychoudhury et al who observed the following pattern; squamous cell carcinoma, follicular thyroid adenoma, salivary gland pleomorphic adenoma, papillary thyroid carcinoma, adenoid cystic carcinoma, basal cell carcinoma and capillary haemangioma. 16…”