The Journal of Laryngology & Otology: Volume 111 -

Microcystic adnexal carcinoma
P. M. Kirkland, N. B. Solomons, N. A. Ratcliffe
Published online by Cambridge University Press:

29 June 2007, pp. 674-675
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Microcystic adnexal carcinoma (MAC) is a rare adnexal tumour which has only recently been recognized as a separate clinicopathological entity. It typically affects the face of the middle-aged and often requires extensive surgical excision, due to its locally invasive nature. Its clinical significance is that, despite being locally invasive, MAC is typified by a lack of metastatic spread. We present a case and review of the literature.

Rosai-Dorfman disease presenting as a parotid mass
L. Norman, A. C. Bateman, G. W. R. Watters, V. Singh, A. V. Spedding
Published online by Cambridge University Press:

29 June 2007, pp. 1091-1093
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Sinus histiocytosis with massive lymphadenopathy (SHML) is a rare, benign disease of unknown aetiology. This disease typically presents with massive, painless cervical lymphadenopathy but may occur in a wide variety of extranodal sites. Our report describes a 71-year-old man who presented with a discrete, unilateral parotid mass which was clinically suggestive of a primary salivary gland tumour. Initial cytological examination of a fine needle aspirate specimen taken from the mass demonstrated a discohesive cell population with nuclear atypia, raising the possibility of malignancy. However, excision of the mass and histological examination enabled a definitive diagnosis to be made.

Atypical carcinoid of larynx: presentation with scalp metastases
Cosme Ereño, Jose I. Lopez, Jose M. Sanchez
Published online by Cambridge University Press:

29 June 2007, pp. 89-91
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A case of atypical carcinoid tumour of the larynx in a 72-year-old woman is presented. The neoplasm was located in the supraglottic region and was first manifest by metastases to the scalp. The presence of amyloid-like material and calcitonin-positive cells were features that resembled medullary carcinoma of the thyroid. Clinically, it pursued an aggressive course that led to death 58 months after diagnosis. The literature is reviewed, particularly that regarding the differential diagnosis.

The Journal of Laryngology & Otology