Pdf most of the documents on the racgp website are in portable document format pdf. Pediatric fibroblastic and myofibroblastic tumors are a relatively common group of softtissue proliferations that are associated with a wide spectrum of clinical behavior. Head and neck tumors 39 chapter 4 head and neck tumors john andrew ridge, md, phd, bonnie s. A case of familial sternocleidomastoid tumor of infancy a case of familial sternocleidomastoid tumor of infancy tavill, michael a wetmore, ralph f. The clinical features, etiology and management are discussed. Fibromatosis colli is a benign mass of the sternocleidomastoid muscle, consisting.
At present, after 4 weeks, the neck swelling showed slight decrease in size with near normal neck movements. Pdf the use of sternocleidomastoid flap in tonsil neoplasms. In some of these patients tightening of the muscle results in torticollis. Imaging showed involvement of the levator scapulae and scalene muscles. Imaging of musculoskeletal fibromatosis radiographics. Stretching the affected sternocleidomastoid by passively rotating. Sternocleidomastoid muscle an overview sciencedirect. Histological analysis following excisional biopsy revealed a benign epithelial cyst, consistent with an atypically. Pdf sternocleidomastoid muscle flap after parotidectomy. We report the case of a 3weekold child, who presented with a neck mass localized in the left side with reduced mobility of the head. The diagnosis can often be made clinically, but unusual. To open a pdf file you will need compatible software such as adobe reader. Typically, it presents as a firm, well circumscribed mass within the sternocleidomastoid muscle scm in infants 18 weeks of age and may be associated with torticollis.
Sternocleidomastoid tumor rare infantile neck mass diagnosed by. Taira, in encyclopedia of movement disorders, 2010. Anterior cervicothoracic approach to the superior sulcus. Pdf fibromatosis colli or sternocleidomastoid tumor of infancy is a condition of benign proliferation of fbrous tissue.
A limitation of the surgery for apical tumors is the spread of the tumor to the vertebral body, as mainly seen in posteriorly located apical lesions. They originate from any nerve covered with schwann cell sheath. When the ipsilateral lymphatic chain was still present, they were performed on the same side as the tumor site, whereas when it had been stripped as a result of previous. Case report sachin dangi, md and namita gwasikoti, md clinical pediatrics 0 10. Sternomastoid tumor of infancy is the most common neck mass in the neonatal period. Older patients are most frequently affected, with 24% of people over the age of 65 years demonstrating such lesions. The sternomastoid tumor of infancy is a firm, fibrous mass, appearing at two to three weeks of age. Intramuscular myxoma im is a rare mesenchymal tumor of the head and neck region. The sternocleidomastoid muscle scm contralateral to the involved posterior neck muscles is generally active in patients with cervical dystonia with predominant head turn in the horizontal axis, and this muscle is usually denervated. Sternomastoid tumor of infancy, also known as fibromatosis colli or muscular torticollis, is a benign fibroblastic lesion of the sternocleidomastoid muscle presenting as a firm, fusiform, non. Bilateral sternocleidomastoid tumor of infancy sciencedirect. The sternocleidomastoid tumor of infancy stoi is a relatively uncommon condition.
Sternocleidomastoid tumor and torticollis springerlink. Download fulltext pdf bilateral sternocleidomastoid tumor in an infant article pdf available in indian pediatrics 4211. Sternocleidomastoid tumor rare infantile neck mass diagnosed by fineneedle aspiration cytology. Fibromatosis colli is an uncommon benign, congenital fibrous tumor or pseudotumor of the sternocleidomastoid muscle that manifests in infancy. This condition must be considered in any infant with a lateral neck mass. We present a case of a desmoid tumor recurrence in a patient with a history of a resected desmoid tumor of the right neck area with free surgical margins six months earlier. The cervical incision is closed in 2 layers after sternal insertion of the sternocleidomastoid muscle is sutured and a conventional drainage of the ipsilateral chest cavity is placed.
The purpose of the journal of the belgian society of radiology is the publication of articles dealing with diagnostic and interventional radiology, related imaging techniques, allied sciences, and continuing education sternocleidomastoid tumor of infancy scmti is a rare cause of benign neck masses in neonates and infants. Palmar fibromatosis dupuytren disease is the most common type of fibromatosis, with a prevalence of 1%2% in the general population, 1, 3. These files will have pdf in brackets along with the filesize of the download. Schwannomas constitute 2545% of tumors of the head and neck. Sternocleidomastoid tumor of infancy scmi, also known as fibromatosis colli or muscular fibromatosis of infants, is a benign self limiting fibroblastic lesion. The sternocleidomastoid tumor of infancy stoi, also known as fibromatosis colli, presents as a firm well circumscribed mass within the sternocleidomastoid muscle scm in infants of 18 weeks of age. We report this large neck mass, located behind the sternocleidomastoid scm within the posterior cervical space and anterior to the prevertebral fascia. Fibromatosis colli or sternocleidomastoid tumor of infancy is one of the causes of neonatal torticollis. Pdf cytodiagnosis of sternocleidomastoid tumor of infancy. The presentation and management of fibromatosis colli. Pdf stemocleidomastoid tumor of infancy scmti is a rare cause of benign neck masses in neonates and infants. A case of bilateral sternocleidomastoid tumor in a neonate. A case of sternomastoid tumor of infancy is described which presented clinically as a neck mass without torticollis and simulated a.
Sternocleidomastoid tumor of infancy in an8week old girl. A 29yearold male patient presented with the complaint of a painless and slowly growing lateral neck mass on the left side. We report our technique of transaxillary subcutaneouscopic sternocleidomastoid tass division. Traditionally persistent sternomastoid torticollis is treated with a neck incision which results in a neck scar. A case of familial sternocleidomastoid tumor of infancy. Intramuscular benign lipoma of the sternocleidomastoid. These features were consistent with fibromatosis colli. Intramuscular type lipomas arise between the muscle fibers and pass through the intermuscular septa, infiltrating the surrounding tissue.
The aim of this study was to evaluate whether intraoperative macroscopic inspection of the sternocleidomastoid muscle scm in regard to tumor infiltration is sufficient to decide about muscle resection and whether there are prognostic differences between patients undergoing radicalversus modified radical selective neck dissection. The purpose of this study was to evaluate the effectiveness of the transaxillary subcutaneous endoscopic sternocleidomastoid muscle division for treatment of persistent torticollis. Generally, the tumor initially grows, then stabilizes, and in about half the cases recedes spontaneously after a. About 4% of head and neck schwannomas present as a sinonasal schwannoma.
The mass is displacing the carotid sheath and its neurovascular contents medially. The sonographic and ct findings of fibromatosis colli sternomastoid tumor of infancy have been described, but the mri appearance has been reported in only one case in which the mass resolved over time. Cytodiagnosis of sternocleidomastoid tumor of infancy ncbi. To exclude malignancy, a full workup, including clinical, radiological, and cytological examination, was performed but failed to provide a definitive diagnosis. Epithelial cyst in the posterior triangle of the neck. Ultrasound and mr imaging of fibromatosis colli sternomastoid tumor of infancy. The carotid body tumor is a rare neoplasm that has generated much literature over the last century, and for which continued controversy exists regarding natural history, biologic behavior, proper technique of excision, and the risk of morbidity and mortality. Torticollis, or wry neck, is a condition in which the patients head is tilted to one side in such a manner that the chin tends to point toward one shoulder and. The primary actions of the muscle are rotation of the head to the opposite side and flexion of the neck. The mass is not a tumor in the specific sense of a true neoplasm but rather a localized swelling, the result of a reparative process. The sternocleidomastoid muscle is one of the largest and most superficial cervical muscles.
Download fulltext pdf download fulltext pdf sternocleidomastoid muscle flap after parotidectomy article pdf available in international archives of otorhinolaryngology 194 march 2015 with. Sternocleidomastoid swelling is commonly encountered in infancy as fibromatosis coli or immature infantile tumor following a hematoma due to difficult labor. Rapid spontaneous resolution of fibromatosis colli in a 3. The neoplasm was found to invade the parapharyngeal space, and wide excision was performed including most of the sternocleidomastoid muscle scm, the thrombosed internal jugular vein ijv, and the infiltrated spinal. Cytodiagnosis of sternocleidomastoid tumor of infancy. Acute torticollis in pediatric practice jama pediatrics. The condition, which usually spontaneously resolves with or without physiotherapy, is. It usually presents with a palpable mass in sternocleidomastoid muscle which gradually or rapidly enlarges in weeks. Congenital muscular torticollis is frequently associated with the development of a mass in the sternocleidomastoid muscle which resembles a malignant tumor. Pdf bilateral sternocleidomastoid tumor in an infant. Resection of the sternocleidomastoid muscle during radical. Schwannomas, also known as neurilemmomas, are benign peripheral nerve sheath tumors. Intramuscular benign lipoma commonly is found on the extremities, but is extremely rare in the head and neck region. Congenital muscular torticollis was divided into the following two ultrasonographybased clinical groups.
Some of these lesions are associated with torticollis, facial and cranial asymmetry. Sternocleidomastoid tumor, also known as fibromatosis colli, is a rare form of fibromatosis in infants which is a rare, benign, and selflimiting tumor of infancy presenting as a wellcircumscribed, hard, immobile, and fusiform swelling in the lower or middle portion of the sternocleidomastoid muscle. Clinical and surgical significance mild to severe narrowing of the minor and major supraclavicular fossa. Sternomastoid tumor of infancy and torticollis springerlink. We report the case of a 66yearold man with a cervical neck mass located behind the left sternocleidomastoid muscle.
The sternocleidomastoid is innervated by the accessory nerve it is given the name sternocleidomastoid because it originates at the manubrium of the sternum sterno and the clavicle cleido, and. Fibromatosis colli also known as sternomastoid tumor of infancy is a benign proliferation of fibrous tissue infiltrating the lower third of the sternocleidomastoid, scm and is the most common cause of neonatal torticollis the mass, also known as a hematoma of the sternocleidomastoid, is firm and hard on palpation, but is neither tender nor inflamed. This case describes the detailed mri findings in a biopsyproven case of fibromatosis colli. Fibromatosis colli is a benign swelling involving sternocleidomastoid muscle.
Diffuse idiopathic hyperplasia of the sternocleidomastoid. It extends almost the whole length of the scm muscle all the way down to the lung apex. Sternocleidomastoid tumor of infancy sctmi, also known as fibromatosis colli or muscular torticollis, is the most common form of congenital torticollis. Total parotidectomy total parotidectomy is the total removal of the superficial and deep parotid gland. The operation may involve sparing or sacrifice of the facial nerve branches or trunk depending on tumor extent to the nerve. Sterocleidomastoid tumor of infancy scmi, also known as fibromatosis colli of infancy, is a benign, self limiting disease of new born characterised by its classical history and clinical presentation of firm to hard fusiform mass in the lower and middle portion of sternocleidomastoid. Core needle biopsy was consistent with intramuscular myxoma. The sternocleidomastoid muscle flap for the prevention of frey syndrome and cosmetic deformity following parotidectomy.
Sternocleidomastoid tumor, also known as fibromatosis colli, is a rare form of. The current study reports a case of a 45yearold man who presented with a painless neck mass. Transaxillary subcutaneouscopic sternocleidomastoid tumor. The optimal time of presentation appears in the first few weeks of life. Meyers, md in 2003, it is estimated that head and neck cancers will comprise 2%3% of all. Article information, pdf download for a case of bilateral sternocleidomastoid tumor in a. It presents in the first few weeks of life as a firm nontender mass in the lower third of the sternocleidomastoid muscle scm. Thyrohyoid subcutaneous soft tissue thyroid cartilage trachea tumor described as fixed to adjacent tissues 3 regional lymph nodes involved only level i.