HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Suggest Treatment For A Lump In The Neck

Posted on Sat, 30 Jul 2016

Question: hello doctor, my brother in XXXXXXX had a neck mass and he was diagnosed with lipoma during fnac and had surgery. during surgical biopsy he is diagnosed with solid fibrous tumor. need expert guidance for follow up please.

Answered by Dr. Zenab Tambawala (1 hour later)

Brief Answer:
conplete removal

Detailed Answer:
Hi there,
Welcome to HCM,

Solid fibrous tumour of neck need complete surgical removal and after surgery need post operative radiotherapy.

They are rarely malignant, that is don't recur. But need to be followed up in a good cancer set up for atleast 5-7 years to check for recurrence or spread.

A good radio therapist for follow up is essential.

Hope this helps.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Zenab Tambawala (6 hours later)

thanks doctor. if they are benign could they be diagnosed by MRI or other scans. is radiotherapy still required. I am also attaching ultrasound report before the surgery, does it point go benign diagnosis?

Answered by Dr. Zenab Tambawala (2 hours later)

Brief Answer:
hemangiopericytoma

Detailed Answer:
Hi there,

After seeing the reports, its is stated by the pathologist that it is hemangiopericytoma that is completely removed, that is no tumor is remaining.

But hemangiopericytoma unlike other fibrous tumours are known to recur and monitoring will be required.

A detailed evaluation of the reports and decision of frequency , number and type of radiotherapy by a good radiotherapist can definitely delay recurrence and improve live span.

The pre-operative ultrasound states that is has no calcification or necrosis that indicates that it is less likely to be malignant. Complete removal of tumour with clear margins is also an excellent sign.

Best to get evaluated by a radiotherapist.

Hope this helps.
Regards.

Above answer was peer-reviewed by : Dr. Sonia Raina

Follow up: Dr. Zenab Tambawala (2 hours later)

sorry obe more question, my brother is worried about radiotherapy as that's associated with cancer generally. if this is benign, do we still need to see radiotherapist. regarding the observation should we have ultrasound or MRI in 2-3 months and is it for neck only?

Answered by Dr. Zenab Tambawala (3 hours later)

Brief Answer:
don't worry

Detailed Answer:
Hi there,

Better to see radiotherapist as if at all in case; if at all it comes back he has expert taking care of him. He should also do the MRI/USG under guidance of the consultant with whom he plans to have long term follow up.

Don't be scared, the mass was removed, we are just making absolutely sure it doesn't come back.

Hope this helps.
Regards.

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Zenab Tambawala (3 days later)

Doctor I am seriously worried now reading and searching about some of the terms in the report. there is no necrosis but it suggest mild nuclear pleomorphism. could it be sign of something serious? my brother is only 40 and young children. please suggest

Answered by Dr. Zenab Tambawala (10 hours later)

Brief Answer:
more postives than negative

Detailed Answer:
Hi,

Do not worry.

The positives signs in the report like margins clear, no necrosis and only mild ( not severe) pleomorphism indicate that treatment was done at right time.

This will work well for your brother .

Worrying too much will not help him.

But follow up and early identification of any recurrence will definitely help him.

Keep calm and take care.

Above answer was peer-reviewed by : Dr. Priyanka G Raj