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LETTER TO EDITOR
Year : 2020  |  Volume : 7  |  Issue : 1  |  Page : 80-81

Cytomorphological diagnosis of fibromatosis colli in a 2-week-old neonate


Department of Pathology, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha, India

Date of Submission14-Dec-2018
Date of Decision28-Jan-2019
Date of Acceptance26-Nov-2019
Date of Web Publication19-Jun-2020

Correspondence Address:
Ranjita Panigrahi
Department of Pathology, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/cjhr.cjhr_164_18

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How to cite this article:
Pradhan P, Panigrahi R, Sucharita S, Dash K. Cytomorphological diagnosis of fibromatosis colli in a 2-week-old neonate. CHRISMED J Health Res 2020;7:80-1

How to cite this URL:
Pradhan P, Panigrahi R, Sucharita S, Dash K. Cytomorphological diagnosis of fibromatosis colli in a 2-week-old neonate. CHRISMED J Health Res [serial online] 2020 [cited 2020 Jul 8];7:80-1. Available from: http://www.cjhr.org/text.asp?2020/7/1/80/286882



Sir,

Fibromatosis colli is an infrequent, self-limiting, benign fibroblastic neck lesion, often associated with intrapartum trauma.[1] Here, we present a rare case manifesting within the neonatal period itself.[2]

A single, term, baby boy was born by forceps delivery after ventouse failure, to a 28-year-old primigravida. The baby did not cry at birth and was shifted to the intensive care for management of perinatal depression. On day 6, he was shifted to mother's side when he had forceps marks around the right eye, which improved with topical antibiotics. On the postnatal day 14, the baby developed two swellings over the left suboccipital region, which were firm, nodular, and nontender, measuring 0.6 and 1.8 cm in diameter, clinically suggesting lymphadenopathy. Ultrasonography showed the swelling corresponds to two hyperechoic homogeneous lesions measuring 5 mm × 6 mm and 13 mm × 8 mm in the left suboccipital region in subcutaneous plane. As the adjacent neck structures were within normal limits, radiologic possibilities of lipoma and fibroma were considered. Fine needle aspiration from the larger swelling showed discohesive plump spindle cells admixed with multinucleated regenerating muscle fibers, giant cells, and a few mitoses, suggesting a benign spindle cell lesion [Figure 1]. In view of the age, history of difficult intrapartum instrumentation, and radiological suspicion of fibroma, a diagnosis of infantile fibromatosis colli was made. The baby is currently advised for follow-up after 1 month of physiotherapy.
Figure 1: Cytosmear showing plump benign spindle cells in a hemorrhagic background (H and E, ×400) and multinucleated giant cells (inset: Leishman, ×400)

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Most of these cases can be picked up on ultrasound, especially by ruling out the other differentials. However, some of these cases do require further workup for confirmation.[3] Fine needle aspirates provide quick, safe, and reliable information as in this case. The above reported is one of the youngest cytologically confirmed cases of this kind among neonates so far. The detailed history, radiological assessment, and optimal cytomorphological evaluation all together help in timely diagnosis and avoiding unnecessary surgical procedures.[4]

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

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:FD08-9.  Back to cited text no. 1
    
2.
Smiti S, Kulkarni NM, Singh J. Case report: Fibromatosis colli in a neonate. Indian J Radiol Imaging 2010;20:45-6.  Back to cited text no. 2
[PUBMED]  [Full text]  
3.
Oliveira JC, Abreu MS, Gomes FM. Sternocleidomastoid tumour in neonate: Fibromatosis colli. BMJ Case Rep 2018;2018. pii: bcr-2017-223543.  Back to cited text no. 3
    
4.
Kulkarni AR, Tinmaswala MA, Shetkar SV. Fibromatosis colli in neonates: An ultrasound study of four cases. J Clin Neonatol 2016;5:271-3.  Back to cited text no. 4
  [Full text]  


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