Ossifying Fibromyxoid Tumour of the Neck Clinically Mimicking a Primary Neoplasm of the Thyroid Gland

We present a 50-year-old male patient with an ossifying fibromyxoid tumour (OFMT) of the prethyroidal soft parts infiltrating the thyroid gland in coincidence with recurrent goitre, 20 years after strumectomy. The tumour, initially misdiagnosed as thyroid carcinoma and malignant schwannoma respectiv...

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Bibliographic Details
Published in:Pathology, research and practice research and practice, 1995-02, Vol.191 (1), p.57-60
Main Authors: Lax, S.F., Ratschek, M., Steindorfer, P., Langsteger, W., Harms, D., Beham, A.
Format: Article
Language:English
Subjects:
Diagnosis, Differential
Fibroma - diagnosis
Fibroma - pathology
Fibroma, Ossifying - diagnosis
Fibroma, Ossifying - pathology
Head and Neck Neoplasms - diagnosis
Head and Neck Neoplasms - pathology
Humans
Male
Middle Aged
Nerve sheath
Ossifying fibromyxoid tumour
Prognosis
Recurrent goitre
Schwann cell
Thyroid
Thyroid Neoplasms - diagnosis
Thyroid Neoplasms - pathology
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Summary:We present a 50-year-old male patient with an ossifying fibromyxoid tumour (OFMT) of the prethyroidal soft parts infiltrating the thyroid gland in coincidence with recurrent goitre, 20 years after strumectomy. The tumour, initially misdiagnosed as thyroid carcinoma and malignant schwannoma respectively, was histologically composed of typical solid cell-formations and shelly-like mature bone at the periphery. In addition, in the tissue adjacent to the tumour some foreign body granulomas with suture material and small proliferating nerves were present as a residual of the preceding strumectomy. We regard this finding as an indication of nerve sheat origin of OFMT. Follow up of 3 years after total thyroidectomy and local irradiation shows the patient free of recurrent and metastatic disease.
ISSN:0344-0338
1618-0631
DOI:10.1016/S0344-0338(11)80924-6