Multiple Adult Rhabdomyomas of the Oropharynx, Base of the Tongue, and Floor of the Mouth

Zacharia, Thomas; Som, Peter M.

doi:10.1001/archotol.134.8.892

Cited by 7 publications

(6 citation statements)

References 2 publications

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“…The current case is another reported extra-cardiac adult rhabdomyoma in the head and neck region besides about 100 reported cases in the literature [5].…”

Section: Commentsmentioning

confidence: 66%

“…The treatment of choice for rhabdomyoma was the conservative excision even with a high possibility for recurrence [5]. Though mandibulotomy may be needed for complete excision of even a benign tumor, complete excision is obtained with combined transoral-transcervical approach.…”

Section: Commentsmentioning

confidence: 99%

“…Tumors rather than squamous cell carcinoma tumors within floor of the mouth were characterized by intact oral mucosa; they showed a wide range of differential diagnosis as minor salivary gland tumor, lymphomas, neurogenic tumors and myogenic tumors [5]. So, preoperative cytology and MRI, also histopathological examination with immunohistochemistry, were recommended for accurate diagnosis and management.…”

Section: Commentsmentioning

confidence: 99%

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Multiple synchronous rhabdomyomas in the tongue and floor of the mouth: case report

Sweed

Bolzoni

Anna

et al. 2019

J Oral Med Oral Surg

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Observation: A 61-year-old male patient presented with tongue and base floor of the mouth firm swelling with intact overlying mucosa with ballottement by bimanual palpation. Histopathological examination and immunodiagnosis revealed this mass as adult rhabdomyoma. Comments: Any tongue base or floor of the mouth mass with intact overlying mucosa should be approached by magnetic resonance imaging with great concern of rhabdomyoma.

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“…The current case is another reported extra-cardiac adult rhabdomyoma in the head and neck region besides about 100 reported cases in the literature [5].…”

Section: Commentsmentioning

confidence: 66%

Section: Commentsmentioning

confidence: 99%

Section: Commentsmentioning

confidence: 99%

See 1 more Smart Citation

Multiple synchronous rhabdomyomas in the tongue and floor of the mouth: case report

Sweed

Bolzoni

Anna

et al. 2019

J Oral Med Oral Surg

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“…Unlike their cardiac counterparts, ECRMs are typically solitary (in 70% of cases), although cases of multinodular (25%) and multifocal (5%) growths have been observed. 6,7 There are no reported cases of malignant transformation.…”

Section: Discussionmentioning

confidence: 99%

Nocturnal Dyspnea as a Result of a Hypopharyngeal Mass

Aaron

Myint

Reder

2017

JAMA Otolaryngol Head Neck Surg

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A man in his 60s presented with progressive onset of nocturnal dyspnea, dysphonia, dysphagia, and noisy breathing over the previous year. In addition, he reported a 22.7-kg weight loss. He also had a medical history significant for obstructive sleep apnea, gastroesophageal reflux disease with Barrett esophagitis, diabetes, and degenerative joint disease. Findings from his head and neck physical examination were normal except for the laryngeal examination. Laryngeal endoscopy revealed a large, well-mucosalized mass emanating from the left pyriform sinus, with mass effect on the larynx (Figure , A). The bilateral true vocal folds (TVFs) were visualized and were normal, but the full range of mobility of the left TVF could not be assessed owing to mass effect. A computed tomographic scan with contrast of the neck was obtained and revealed a 5 × 6-cm, nonenhancing, well-circumscribed laryngeal mass (Figure , B). The tumor was originating from the left pyriform sinus and did not appear to be locally invasive. Given these findings, the patient underwent direct laryngoscopy for transoral carbon dioxide laser-assisted excision without complications. Microscopic examination of the mass demonstrated polygonal cells with peripherally placed nuclei and eosinophilic cytoplasm containing cross-striations (Figure , C). Postoperatively, the patient reported improvement in dysphagia, voice quality, sleep, and breathing patterns.

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“…Malignant transformation has basically not occurred, and hence conservative surgical excision is a valid treatment option [1,5,9,10] . On the other hand, some literature reported malignant transformation [11] .…”

Section: Pathologically Other Eosinophmentioning

confidence: 99%

Multinodular adult rhabdomyoma in the base of the tongue excised conservatively using submental midline approach with hyoid bone split: A case report

Harada

Shinohara

Kikuchi

et al. 2015

CRCP

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Background: Adult rhabdomyoma (ARh) is a rare benign tumor of skeletal muscle origin. ARh occurs mainly in the head and neck region. This report details the surgical excision of a large multinodular ARh in the base of the tongue that was causing severe sleep apnea. Findings:Magnetic resonance imaging revealed that the base of the tongue was almost completely replaced by a 6 cm × 8 cm tumor.Methods: Conservative surgical excision was done by submental midline approach with hyoid bone split.Results: Surgery improved the patient's sleep apnea without damaging the swallowing function. The patient was able to secede from nasal continuous positive airway pressure and has remained symptom-free for 12 months postoperatively. Conclusions:This newly designed approach is suitable for excision of benign tumors in the base of the tongue to obtain a patent airway without damaging the function of the tongue base.

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Multiple Adult Rhabdomyomas of the Oropharynx, Base of the Tongue, and Floor of the Mouth

Cited by 7 publications

References 2 publications

Multiple synchronous rhabdomyomas in the tongue and floor of the mouth: case report

Multiple synchronous rhabdomyomas in the tongue and floor of the mouth: case report

Nocturnal Dyspnea as a Result of a Hypopharyngeal Mass

Multinodular adult rhabdomyoma in the base of the tongue excised conservatively using submental midline approach with hyoid bone split: A case report

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