Giant Fungating Cutaneous Myxoma of the Head and Neck: An Unusual Presentation
Aliyu Daniel *
Department of Otorhinolaryngology, Usmanu Danfodiyo University Teaching Hospital Sokoto, Nigeria.
K. R. Iseh
Department of Otorhinolaryngology, Usmanu Danfodiyo University Teaching Hospital Sokoto, Nigeria.
J. H. Solomon
Department of Otorhinolaryngology, Usmanu Danfodiyo University Teaching Hospital Sokoto, Nigeria.
Olawole W. Olalekan
Department of Oral and Maxillofacial Surgery, Federal Medical Centre Birnin Kebbi, Nigeria.
Braimah R. Oyebunmi
Department of Oral and Maxillofacial Surgery, Usmanu Danfodiyo University Teaching Hospital Sokoto, Nigeria.
Ibikunle A. Aremu
Department of Oral and Maxillofacial Surgery, Usmanu Danfodiyo University Teaching Hospital Sokoto, Nigeria.
Taiwo A. Olanrewaju
Department of Oral and Maxillofacial Surgery, Usmanu Danfodiyo University Teaching Hospital Sokoto, Nigeria.
Sahabi S. Mallami
Department of Histopathology, Usmanu Danfodiyo University Teaching Hospital Sokoto, Nigeria.
Adeyeye M. Folusho
Department of Otorhinolaryngology, Usmanu Danfodiyo University Teaching Hospital Sokoto, Nigeria.
Nazish P. Aquil
Department of Plastic and Reconstructive Surgery, Usmanu Danfodiyo University Teaching Hospital Sokoto, Nigeria.
S. B. Amutta
Department of Otorhinolaryngology, Usmanu Danfodiyo University Teaching Hospital Sokoto, Nigeria.
M. Abdullahi
Department of Otorhinolaryngology, Usmanu Danfodiyo University Teaching Hospital Sokoto, Nigeria.
Okoro C. Joshua
Department of Otorhinolaryngology, Usmanu Danfodiyo University Teaching Hospital Sokoto, Nigeria.
*Author to whom correspondence should be addressed.
Abstract
Introduction: Virchow first describes Myxomas in 1871; they are benign tumors of primitive indifferent mesenchyme that have preference for the cardiac muscles, genitourinary tract, gastrointestinal tract, liver and spleen. The rarity of the tumor, especially in the head and neck region makes us to report this case.
Case Report: A 16-year-old male secondary student who presented with a 9-year history of painless progressive submandibular swelling, no extension to the mouth. Examination revealed a huge fungating submandibular mass, 20 cm x 16 cm x10 cm in dimension, mobile, non-tender and firm in consistency. Other findings were unremarkable, and routine hematological and biochemical tests were all within normal limits. He subsequently had excision of the mass (weighs 950 g) under general anesthesia via an elective tracheostomy with split thickness skin grafting of the exposed strap muscles. Histopathological report revealed cutaneous myxoma.
Conclusion: Cutaneous myxoma of the Head and Neck region is presented for its rarity, and although is a histologically benign neoplasm, treatment is extremely challenging with high incidence of recurrence.
Keywords: Cutaneous myxoma, head and neck, benign, submandibular