Cervical Infantile Fibrosarcoma: a rare cause of pediatric parapharyngeal neck mass

Authors

  • Madhu Priya All India Institute of Medical Sciences, Department of Otorhinolaryngology & Head-Neck Surgery, Rishikesh, Uttarakhand, India https://orcid.org/0000-0002-8978-2138
  • Parvendra Singh All India Institute of Medical Sciences, Department of Otorhinolaryngology & Head-Neck Surgery, Rishikesh, Uttarakhand, India https://orcid.org/0000-0001-7378-1360
  • Manu Malhotra All India Institute of Medical Sciences, Department of Otorhinolaryngology & Head-Neck Surgery, Rishikesh, Uttarakhand, India https://orcid.org/0000-0003-0913-6652
  • Sumeet Angral All India Institute of Medical Sciences, Department of Otorhinolaryngology & Head-Neck Surgery, Rishikesh, Uttarakhand, India https://orcid.org/0000-0001-7243-9985
  • Saurabh Varshney All India Institute of Medical Sciences, Department of Otorhinolaryngology & Head-Neck Surgery, Rishikesh, Uttarakhand, India https://orcid.org/0000-0002-1263-1980
  • Abhishek Bhardwaj All India Institute of Medical Sciences, Department of Otorhinolaryngology & Head-Neck Surgery, Rishikesh, Uttarakhand, India
  • Amit Kumar Tyagi All India Institute of Medical Sciences, Department of Otorhinolaryngology & Head-Neck Surgery, Rishikesh, Uttarakhand, India https://orcid.org/0000-0002-1187-8332
  • Manish Kumar Gupta All India Institute of Medical Sciences, Department of Paediatric Surgery, Rishikesh, Uttarakhand, India

DOI:

https://doi.org/10.4322/acr.2020.189

Keywords:

Fibrosarcoma, Rhabdomyosarcoma, Soft Tissue Tumor

Abstract

Soft tissue tumors are not uncommon in childhood and comprise entities that range from common to very rare malignancies. Infantile fibrosarcoma (IFS) is a rare pediatric malignancy mainly seen in the first two years of life. The data about the incidence of infantile fibrosarcoma occurring in the neck in the Indian subcontinent is scarce. To the best of our knowledge, only one case of infant cervical IFS has been reported previously in the Indian subcontinent. We present another case of an eight-year-old male patient with a rapidly growing mass on the left side of the neck. He was successfully treated with a combined modality of surgery and chemotherapy with a good outcome. Among the soft tissue tumors of childhood, IFS is a rare entity. It has a good prognosis and lesser chance of distant metastasis as compared to adult fibrosarcoma. Though surgical excision is the mainstay of treatment, chemotherapy also has a significant role in the treatment of primary tumor and metastasis. We discuss the stated case to bring to the notice this uncommon cause, which can be considered as a differential diagnosis of upper cervical swellings. A better understanding of this entity would help in early diagnosis and aggressive treatment, reducing the overall morbidity and mortality.

Downloads

Download data is not yet available.

Downloads

Published

2020-08-24

How to Cite

Priya, M. ., Singh, P. ., Malhotra, . M. ., Angral, S. ., Varshney, S. ., Bhardwaj, A. ., Tyagi, A. K. ., & Gupta, M. K. . (2020). Cervical Infantile Fibrosarcoma: a rare cause of pediatric parapharyngeal neck mass. Autopsy and Case Reports, 10(4), e2020189. https://doi.org/10.4322/acr.2020.189

Issue

Section

Clinical Case Report and Review