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The Return of a Rare Entity: Recurrent Neck Rhabdomyoma
Ana Jotić1,2, Saša Jakovljević1,2, Nada Tomanović1,3
1Faculty of Medicine, University of Belgrade.
The Journal of Craniofacial Surgery
|August 14, 2026
Summary
Adult rhabdomyoma, a rare benign tumor, can recur in the neck. Complete surgical excision is crucial for preventing recurrence of this skeletal muscle tumor.
Area of Science:
- Oncology
- Pathology
- Surgical Oncology
Background:
- Adult rhabdomyoma is a rare benign mesenchymal tumor.
- It typically occurs in the head and neck region.
- Local recurrence is possible, especially with incomplete surgical removal.
Purpose of the Study:
- To report a case of recurrent adult rhabdomyoma in the neck.
- To emphasize diagnostic considerations for neck masses.
- To highlight the importance of complete surgical excision.
Main Methods:
- Case presentation of a middle-aged male with a recurrent cervical mass.
- Diagnostic workup included clinical examination, flexible endoscopy, and MRI.
- Surgical excision via a transcervical approach followed by histopathologic and immunohistochemical analysis.
Main Results:
- A well-defined lesion in the right neck extending to the parapharyngeal space was identified.
- Histopathology revealed characteristic polygonal cells with eosinophilic cytoplasm and vacuolization.
- Immunohistochemistry confirmed desmin positivity, diagnosing adult rhabdomyoma.
Conclusions:
- Adult rhabdomyoma should be considered in the differential diagnosis of neck masses.
- Complete surgical excision is essential for minimizing recurrence risk.
- The presented case had an uneventful postoperative course with no recurrence during follow-up.