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Malignant mesenchymoma of the retropharyngeal space

Published online by Cambridge University Press:  29 June 2007

H. K. Leong ,
C. Y. W. Kwan ,
R. E. Stanley  and
S. Tow
H. K. Leong*
Affiliation:
Department of Otolaryngology, National University Hospital
C. Y. W. Kwan
Affiliation:
Department of Mount Elizabeth Laboratories, National University Hospital
R. E. Stanley
Affiliation:
Department of Otolaryngology, Singapore General Hospital
S. Tow
Affiliation:
Department of Pathology, Singapore General Hospital
*
H. K. Leong, Senior Lecturer, Department of Otolaryngology, National University Hospital, 5 Lower Kent Ridge Road, Singapore
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Abstract

Malignant mesenchymoma is a very rare head and neck tumour. To date only 15 cases have been reported in world literature and all in children under 16 years of age. We present here a case of a 40-year-old man with malignant mesenchymoma of the retropharyngeal space. The clinical picture is that of progressive dysphagia, voice change, snoring and dyspnoea. CT scan showed a soft tissue space-occupying lesion of the retropharyngeal space which enhanced very well with intravenous contrast. The tumour was excised in toto and the patient given post-operative radiotherapy. Histopathology showed two unrelated differentiated tissue types (bone and fat) in addition to the fibrosarcomatous element thus satisfying Stout's criteria (Stout, 1948) for a diagnosis of malignant mesenchymoma.

Keywords

MesenchymomamalignantNeck
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 107 , Issue 12 , December 1993 , pp. 1165 - 1168
Copyright
Copyright © JLO (1984) Limited 1993

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References

Ashbell, T. S., Baffe, T. G.. Obillocala, S., Heredia, R. M. (1972) Congenital malignant mesenchymoma of the face.Plastic and Reconstructive Surgery 49: 348–350CrossRefGoogle Scholar
Enzinger, F. M.Weiss, S. W. (1988).Soft Tissue Tumors, 2nd Edition. C. V. Mosby Co., St Louis, pp 958–960Google Scholar
Gerbaulet, A., Panis, X., Flamant, F., Chassagne, D. (1985) Iridium afterloading. Curie therapy in the treatment of paediatric malignancies. Cancer 56: 1274–12793.0.CO;2-8>CrossRefGoogle Scholar
Kawashima, O., Kamei, T., Shumizi., Y, Shizuka, T.. Nakayama, M. (1990) Malignant mesenchymoma of the larynx. Journal of Laryngology and Otology 104: 440–444CrossRefGoogle ScholarPubMed
Mayer, C. M. H., Favara, B. E., Holton, C. P.Rainer, G.. (1974) Malignant mesenchymoma in infants. American Journal of Diseases of Children 128: 847–850Google ScholarPubMed
Nash, A., Stout, A. P. (1961) Malignant mesenehymomas in children. Cancer 14: 524–5333.0.CO;2-A>CrossRefGoogle ScholarPubMed
O'Day, R. A., Soule, E. H., Gores, R. J. (1964) Soft tissue sarcomas of the oral cavity. Mayo Clinic Proceedings 39: 169–181Google ScholarPubMed
Senoo, A., Imazeki, N., Suzuki, K., Fuse, Y. (1983) An ultrastructural study of malignant mesenchymoma with reference to intracytoplasmic filament. Journal of Clinical Electron Microscopy 16: 5–6Google Scholar
Stout, A. P. (1948) Mesenchymoma, the mixed tumor of mesenchymal derivatives. Annals of Surgery 127: 278–290CrossRefGoogle ScholarPubMed