Not always 'squame' : the rare entity of follicular dendritic cell sarcoma of the tonsil presenting with cervical nodal metastases

Although squamous cell carcinoma accounts for the overwhelming majority of head and neck malignant neoplasms, extranodal follicular dendritic cell sarcoma (FDCS) of the pharyngeal region can have a similar clinical presentation. The histopathological features of this rare entity have been described...

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Bibliographic Details
Published in:SA journal of radiology 2020, Vol.24 (1), p.1-4
Main Authors: Brugman, Jaanri, De Bruyn, Gerard, Naidoo, Komeela, Merven, Marc, Opperman, J, Janse Van Rensburg, Leon
Format: Article
Language:English
Subjects:
Abdomen
Carotid arteries
Case Report
Dendritic cells
Differential diagnosis
follicular dendritic cell sarcoma
head and neck neoplasm
Health Care Sciences & Services
Lymphatic system
magnetic resonance
Medicine, General & Internal
Metastases
Metastasis
nodal metastasis
Oropharynx
Pharynx
Radiation therapy
Radiology, Nuclear Medicine & Medical Imaging
Sarcoma
Squamous cell carcinoma
Tonsil
Tumors
Veins & arteries
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Summary:Although squamous cell carcinoma accounts for the overwhelming majority of head and neck malignant neoplasms, extranodal follicular dendritic cell sarcoma (FDCS) of the pharyngeal region can have a similar clinical presentation. The histopathological features of this rare entity have been described and emphasised in the literature. We present the case of a 65-year-old male patient with FDCS of the tonsil to illustrate the radiologic findings of FDCS and also highlight this infrequent but salient differential diagnosis for adult head and neck neoplasia.
ISSN:1027-202X
2078-6778
2078-6778
DOI:10.4102/sajr.v24i1.1978