Cytological diagnosis of fibromatosis coli: a rare presentation of infantile neck swelling

  • Abhijit Das NDMCMC & Hindu Rao Hospital
  • Namrata Nargotra
  • Ila Tyagi
  • Ritu Arora
  • Sompal Singh
Keywords: Fibromatosis coli, Mesenchymal, Birth trauma, Self limiting

Abstract

Fibromatosis coli is a rare benign mesenchymal lesion, usually presenting with neck mass in infant. Although etiology is not known, about half of the patients have history of birth trauma. It is self limiting fibroblastic lesion. Fine needle aspiration cytology is used as first line of investigation. If the diagnosis is made early, it shows an excellent prognosis. Most cases are managed conservatively. Here we present two interesting cases of fibromatosis coli which were diagnosed cytologically & showed complete regression after conservative management.

References

1. Khan S, Jetley S, Jairajpuri Z, Husain M. Fibromatosis colli - a rare cytological diagnosis in infantile neck swellings. J Clin Diagn Res. 2014;8(11):FD08-9.
2. McLeod DL, Geisinger KR, Hopkins MB, Silverman JF: Fine needle aspiration cytology of fibromatosis: A clinical and cytopathologic assessment (abstr). Acta Cytol 1987;31:68.
3. Baisakh MA, Mishra M, Narayanan R, Mohanty R. Cytodiagnosis of sternocleidomastoid tumour of infancy. J Cytol. 2012;29:149-51.
4. Goldblum JR, Weiss SW. Fibrous tumours of infancy and childhood. In: Goldblum JR, Weiss SW. (Eds):Enzeinger and Weiss's Soft tissue tumours. 4th ed, St.Louis,Mosby, 2001; 273-75.
5. Ostrowski ML, Bradshaw J, Garrison D: Infantile myofibromatosis: Diagnosis suggested by fine-needle aspiration biopsy. Diagn Cytopathol 1990;6:284–288.
6. Porter SB, Blund BW. Pseudotumour of infancy and congenital muscular torticollis. Am Family Phys. 1995;52:1731-36.
7. Kumar B, Pradhan A. Diagnosis of sternomastoid tumour of infancy by fine needle aspiration cytology. Diagn Cytopathol. 2011;39:13-17.
8. Kurtycz DF, Logrono R, Hoerl HD, Heatley DG. Diagnosis of fibromatosis colli by fine needle aspiration. Diagn Cytopathol. 2000;23:338-42.
9. Chakrabarti I, Bandopadhyay A, Goswami BK. Fine Needle Aspiration Cytology of Fibromatosis Colli. Turkish Journal of Pathology. 2010;26:243-44.
10. Sharma S, Mishra K, Khanna G. Fibromatosis Colli in Infants. A cytologic study of eight cases. Acta Cytol. 2003;47:359-62.
11. Rajalakshmi V, Selvambigai G, Jaiganesh. Cytomorphology of fibromatosis colli. J Cytol. 2009;26:41-42.
12. Raab SS, Silverman JF, McLeod DL, Banning TL, Geisinger KR: Fine needle aspiration biopsy of fibromatosies. Acta Cytol. 1993;37(3):328-28.
Published
2016-10-03
Section
Case Report