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Published on: February 29, 2020

Jugular foramen fibromatosis in a 3-month-old male

Dilip D Madnani1, David Myssiorek, Patricia G Wasserman

  • 1Department of Otolaryngology and Communicative Disorders, Long Island Jewish Medical Center, New Hyde Park, NY 11040, USA.

International Journal of Pediatric Otorhinolaryngology
|September 23, 2006
PubMed

Insights

This study presents the earliest known case of fibromatosis in a 3-month-old infant, diagnosed via fine needle biopsy. The rare jugular foramen mass caused vocal fold paresis and feeding difficulties.

Area of Science:

  • Pediatric Neurology
  • Head and Neck Pathology
  • Diagnostic Imaging

Background:

  • Jugular foramen masses are rare in pediatric populations.
  • Fibromatosis is a benign neoplastic proliferation of fibroblasts.

Observation:

  • A 3-month-old infant presented with episodic choking, hoarse cry, left eye ptosis, and asymmetric palate elevation.
  • Fiberoptic examination revealed left vocal fold paresis and pyriform sinus secretions.
  • MRI identified an ill-defined lesion at the left jugular foramen extending into the carotid sheath.

Findings:

  • Fine needle biopsy confirmed spindle-shaped cells consistent with fibromatosis.
  • This case represents the earliest reported instance of jugular foramen fibromatosis.
  • The histopathology of fibromatosis and differential diagnoses for pediatric jugular foramen masses are discussed.

Implications:

  • Highlights the importance of considering rare pathologies in pediatric head and neck masses.
  • Emphasizes the utility of advanced imaging and biopsy in diagnosis.
  • Contributes to the understanding of congenital fibromatosis presentations.

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