A rare condition in the differential diagnosis of hard, fixed neck masses: Elongated transverse process of atlas
Öz
Twenty eight years old female patient presents with 1cm in diameter, hard and painless swelling in the left side of the neck. On physical examination; 1cm in size, rigid, painless and fixed mass was detected in the left retromandibular area. Cervical computerized tomography (CT) scan was performed. The elongation of left transverse process of atlas giving misleadingly the impression of a neck mass was observed in CT scan. In the literature, the elongation of transverse process of the seventh cervical vertebra is common but clinical conditions depending on the elongation of transverse process of atlas is very rare. Surgical intervention was not considered because the patient does not have any complaint other than palpable mass. As in this case, elongated transverse process vertebra (atlas) as a rare condition must be kept in mind in the differential diagnosis of rigid and fixed neck masses. J Clin Exp Invest 2015; 6 (1): 59-60. Key words: Transverse process, atlas, neck mass
Anahtar Kelimeler
Kaynakça
- Thompson R.W. Challenges in the treatment of thoracic
- outlet syndrome. Tex Heart Inst J 2012;39:842-843.
- Hosalkar H.S, Sankar W.N, Wills B.P, et al. Congenital
- Osseous Anomalies of the Upper Cervical Spine. J
- Bone Joint Surg Am, 2008;90:337-348.
- Guille J.T, Sherk H.H. Congenital Osseous Anomalies
- of the Upper and Lower Cervical Spine in Children. J
- Bone Joint Surg Am, 2002;84:277-288.
- Türkyılmaz A, Oral D, Sakar N, Budak T. Spontan fraktür
- riskli juvenil osteoporoza sahip turner sendromlu
- olgu sunumu. Dicle Tıp Derg 2008;35:65-68.
- Kelekçi S, Ekinci F, Karakoç M, Arıtürk Z. A case of
- Klippel-Feil syndrome with renal agenesis. J Clin Exp
- Invest 2010;1:53-55.
- Eom K.S, KIm T.Y, Moon S.K. Extreme elongation of
- the transverse processes of the fifth lumbar vertebra:
- an unusual variant. Turk Neurosurg 2011;2:648-650.
A rare condition in the differential diagnosis of hard, fixed neck masses: Elongated transverse process of atlas
Öz
Yirmi sekiz yaşında kadın hasta boynunun sol tarafında 1 cm çapında sert, ağrısız, şişlik şikayeti ile başvurdu. Yapılan fizik muayenede sol retromandibuler bölgede 1cm boyutunda, sert, ağrısız ve fikse kitle tespit edildi. Servikal bilgisayarlı tomografi (BT) tetkiki yapıldı. Bilgisayarlı tomografide boyun kitlesi taklit eden, atlas sol transvers prosesi’nin elongasyonu tespit edildi. Literatürde, yedinci servikal vertebra, transvers prosesi’nin elongasyonu yaygındır fakat atlas transvers prosesi’nin elongasyonuna bağlı klinik durumlar çok nadirdir. Hastanın palpabl kitle dışında herhangi bir şikayeti olmadığı için cerrahi müdahale düşünülmedi. Nadir bir durum olan vertebra (atlas) transvers process elongasyonu, sert ve fikse boyun kitlelerinin ayırıcı tanısında akılda tutulmalıdır
Anahtar Kelimeler
Kaynakça
- Thompson R.W. Challenges in the treatment of thoracic
- outlet syndrome. Tex Heart Inst J 2012;39:842-843.
- Hosalkar H.S, Sankar W.N, Wills B.P, et al. Congenital
- Osseous Anomalies of the Upper Cervical Spine. J
- Bone Joint Surg Am, 2008;90:337-348.
- Guille J.T, Sherk H.H. Congenital Osseous Anomalies
- of the Upper and Lower Cervical Spine in Children. J
- Bone Joint Surg Am, 2002;84:277-288.
- Türkyılmaz A, Oral D, Sakar N, Budak T. Spontan fraktür
- riskli juvenil osteoporoza sahip turner sendromlu
- olgu sunumu. Dicle Tıp Derg 2008;35:65-68.
- Kelekçi S, Ekinci F, Karakoç M, Arıtürk Z. A case of
- Klippel-Feil syndrome with renal agenesis. J Clin Exp
- Invest 2010;1:53-55.
- Eom K.S, KIm T.Y, Moon S.K. Extreme elongation of
- the transverse processes of the fifth lumbar vertebra:
- an unusual variant. Turk Neurosurg 2011;2:648-650.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Bölüm | Kısa Rapor |
| Yazarlar | |
| Yayımlanma Tarihi | 10 Mayıs 2015 |
| Yayımlandığı Sayı | Yıl 2015 |