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Myxomas of the Head and Neck
Rinaldo F. Canalis, MD;
Geoffrey A. Smith, MD;
Horst R. Konrad, MD
Arch Otolaryngol. 1976;102(5):300-305.
Abstract
Myxomas are benign mesenchymal tumors that occur rarely in the head and neck. When they do occur, they are prevalent in the jaws and occur less frequently in the subcutaneous tissues. We report ten new cases and review the clinical, structural, and behavioral characteristics of myxomas arising in various head and neck locations. All ages are affected. The most common initial complaint is the presence of a slow-growing mass. The sarcomas, especially liposarcomas and fibrosarcomas, rank high in the differential diagnosis of myxomas. These tumors are stubborn infiltrators. When a capsule is present, it is usually incomplete and insufficient to contain the tumor. Treatment is by wide surgical excision. The high recurrence rate previously reported is probably due to incomplete excision and is higher when enucleation or curettage are used. Long-term follow-up is mandatory since recurrences may develop several years after treatment.
(Arch Otolaryngol 102:300-305, 1976)
Author Affiliations
From the Division of Head and Neck Surgery, Department of Surgery, UCLA School of Medicine, Los Angeles, and the Division of Otolaryngology, Department of Surgery, Harbor General Hospital, Torrance, Calif.
Footnotes
Accepted for publication Jan 28, 1976.
Reprint requests to the Division of Head and Neck Surgery, Department of Surgery, UCLA School of Medicine, 10833 Le Conte Ave, Los Angeles, CA 90024 (Dr Canalis).
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