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Fibromatosis Colli: The Utility of Fine-needle Aspiration in Diagnosis

Fibromatosis Colli: The Utility of Fine-needle Aspiration in Diagnosis Abstract Background: Fibromatosis colli (FC), also known as sternocleidomastoid tumor of infancy, is a benign spindle cell lesion of the sternocleidomastoid muscle. It usually is seen in the first few weeks of life and is the most common cause of a neck mass in the perinatal period. Although FC may lead to congenital muscular torticollis requiring surgical intervention, if the diagnosis of FC is certain, the usual initial treatment option is conservative management. Objective: To show the utility of fine-needle aspiration in the diagnosis of FC. Patients: Five cases in which fine-needle aspiration was used in the evaluation of patients with FC were identified retrospectively by a search of the cytopathology files of the State University of New York Health Science Center at Syracuse and the Virginia Commonweath University, Medical College of Virginia, Richmond. Results: Fine-needle aspiration yielded an initial diagnosis of FC in 4 of the 5 cases. Smears made from the aspirated material were of low cellularity, but showed a characteristic population of spindle-cell fibroblasts. In addition to these fibroblasts, a variable amount of degenerating skeletal muscle was present in the background. Conclusion: With the collaborative efforts of otolaryngologists and pathologists, fine-needle aspiration can be used to confirm a clinical diagnosis of FC while avoiding the expense and risk of open biopsy.Arch Otolaryngol Head Neck Surg. 1997;123:301-304 References 1. Thomsen JR, Koltai PJ. Sternomastoid tumor of infancy . Ann Otol Rhinol Laryngol . 1989;98:955-959. 2. Coventry MB, Harris LE. Congenital muscular torticollis . J Bone Joint Surg Am . 1959;41:815-822. 3. Wakely PE, Price WG, Frable WJ. Sternomastoid tumor of infancy (fibromatosis colli): diagnosis by aspiration cytology . Mod Pathol . 1989;2:378-381. 4. Frable WJ. Thin-needle aspiration biopsy: a personal experience with 469 cases . Am J Clin Pathol . 1976;65:168-182. 5. Tom LWC, Handler SD, Wetmore RF, Potsic WP. The sternocleidomastoid tumor of infancy . Int J Pediatr Otorhinolaryngol . 1987;13:245-255.Crossref 6. Enzinger FM, Weiss SW. Benign fibrohistocytic tumors . In: Soft Tissue Tumors . 3rd ed. St Louis, Mo: Mosby—Year Book Inc; 1995:249-251. 7. McDaniel A, Hirsch BE, Kornblut AD, Armbrustmacher VM. Torticollis in infancy and adolescence . Ear Nose Throat J . 1984;63:478-487. 8. MacDonald D. Sternomastoid tumor and muscular torticollis . J Bone Joint Surg Br . 1969;51:432-443. 9. Wakely PE, Kardos TF, Frable WJ. Application of fine needle aspiration biopsy to pediatrics . Hum Pathol . 1988;19:1383-1386.Crossref 10. Geisinger K, Silverman J, Wakely P. Soft tissue . In: Johnston WW, ed. Pediatric Cytopathology: ASCP Theory and Practice of Cytology . Chicago, Ill: American Society of Clinical Pathology; 1994:259-281. 11. Mobley DL, Wakely PE, Frable MAS. Fine-needle aspiration biopsy: application to pediatric head and neck masses . Laryngoscope . 1991;101:469-472.Crossref 12. Raab SS, Silverman JF, McLeod DL, Benning TL, Geisinger KR. Fine needle aspiration biopsy of fibromatoses . Acta Cytol . 1993;37:323-328. 13. Zaharopoulos P, Wong JY. Fine-needle aspiration cytology in fibromatoses . Diagn Cytopathol . 1992;8:73-78.Crossref 14. Gonzalez J, Ljung B-M, Guerry T, Schoenrock LD. Congenital torticollis: evaluation by fine-needle aspiration biopsy . Laryngoscope . 1989;99:651-654. 15. Ling CM. The influence of age on the results of open sternomastoid terrotomy in muscular torticollis . Clin Orthop . 1976;116:142-148. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology - Head & Neck Surgery American Medical Association

Fibromatosis Colli: The Utility of Fine-needle Aspiration in Diagnosis

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References (16)

Publisher
American Medical Association
Copyright
Copyright © 1997 American Medical Association. All Rights Reserved.
ISSN
0886-4470
eISSN
1538-361X
DOI
10.1001/archotol.1997.01900030075010
Publisher site
See Article on Publisher Site

Abstract

Abstract Background: Fibromatosis colli (FC), also known as sternocleidomastoid tumor of infancy, is a benign spindle cell lesion of the sternocleidomastoid muscle. It usually is seen in the first few weeks of life and is the most common cause of a neck mass in the perinatal period. Although FC may lead to congenital muscular torticollis requiring surgical intervention, if the diagnosis of FC is certain, the usual initial treatment option is conservative management. Objective: To show the utility of fine-needle aspiration in the diagnosis of FC. Patients: Five cases in which fine-needle aspiration was used in the evaluation of patients with FC were identified retrospectively by a search of the cytopathology files of the State University of New York Health Science Center at Syracuse and the Virginia Commonweath University, Medical College of Virginia, Richmond. Results: Fine-needle aspiration yielded an initial diagnosis of FC in 4 of the 5 cases. Smears made from the aspirated material were of low cellularity, but showed a characteristic population of spindle-cell fibroblasts. In addition to these fibroblasts, a variable amount of degenerating skeletal muscle was present in the background. Conclusion: With the collaborative efforts of otolaryngologists and pathologists, fine-needle aspiration can be used to confirm a clinical diagnosis of FC while avoiding the expense and risk of open biopsy.Arch Otolaryngol Head Neck Surg. 1997;123:301-304 References 1. Thomsen JR, Koltai PJ. Sternomastoid tumor of infancy . Ann Otol Rhinol Laryngol . 1989;98:955-959. 2. Coventry MB, Harris LE. Congenital muscular torticollis . J Bone Joint Surg Am . 1959;41:815-822. 3. Wakely PE, Price WG, Frable WJ. Sternomastoid tumor of infancy (fibromatosis colli): diagnosis by aspiration cytology . Mod Pathol . 1989;2:378-381. 4. Frable WJ. Thin-needle aspiration biopsy: a personal experience with 469 cases . Am J Clin Pathol . 1976;65:168-182. 5. Tom LWC, Handler SD, Wetmore RF, Potsic WP. The sternocleidomastoid tumor of infancy . Int J Pediatr Otorhinolaryngol . 1987;13:245-255.Crossref 6. Enzinger FM, Weiss SW. Benign fibrohistocytic tumors . In: Soft Tissue Tumors . 3rd ed. St Louis, Mo: Mosby—Year Book Inc; 1995:249-251. 7. McDaniel A, Hirsch BE, Kornblut AD, Armbrustmacher VM. Torticollis in infancy and adolescence . Ear Nose Throat J . 1984;63:478-487. 8. MacDonald D. Sternomastoid tumor and muscular torticollis . J Bone Joint Surg Br . 1969;51:432-443. 9. Wakely PE, Kardos TF, Frable WJ. Application of fine needle aspiration biopsy to pediatrics . Hum Pathol . 1988;19:1383-1386.Crossref 10. Geisinger K, Silverman J, Wakely P. Soft tissue . In: Johnston WW, ed. Pediatric Cytopathology: ASCP Theory and Practice of Cytology . Chicago, Ill: American Society of Clinical Pathology; 1994:259-281. 11. Mobley DL, Wakely PE, Frable MAS. Fine-needle aspiration biopsy: application to pediatric head and neck masses . Laryngoscope . 1991;101:469-472.Crossref 12. Raab SS, Silverman JF, McLeod DL, Benning TL, Geisinger KR. Fine needle aspiration biopsy of fibromatoses . Acta Cytol . 1993;37:323-328. 13. Zaharopoulos P, Wong JY. Fine-needle aspiration cytology in fibromatoses . Diagn Cytopathol . 1992;8:73-78.Crossref 14. Gonzalez J, Ljung B-M, Guerry T, Schoenrock LD. Congenital torticollis: evaluation by fine-needle aspiration biopsy . Laryngoscope . 1989;99:651-654. 15. Ling CM. The influence of age on the results of open sternomastoid terrotomy in muscular torticollis . Clin Orthop . 1976;116:142-148.

Journal

Archives of Otolaryngology - Head & Neck SurgeryAmerican Medical Association

Published: Mar 1, 1997

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