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J Maxillofac Oral Surg. 2015 Mar;14:397-400. doi: 10.1007/s12663-014-0637-5. Epub 2014 Aug 12.

Vascular transformation of bilateral cervical lymph node sinuses: a rare entity masquerading as tumor recurrence.

Journal of maxillofacial and oral surgery

Prithwijit Ghosh, Kaushik Saha, Aloke Kanti Ghosh

Affiliations

  1. DESUN (NEON) Reference Lab, Kolkata, West Bengal India.
  2. Department of Pathology, Murshidabad Medical College and Hospital, Berhampore, Murshidabad, West Bengal India ; 42/9/2, Sashi Bhusan Neogi Garden Lane, Baranagar, Kolkata, 700 036 India.
  3. Niramoy Clinic, Kolkata, India ; Department of Otorhinolaryngology, Calcutta National Medical College and Hospital, Kolkata, West Bengal India.

PMID: 25848149 PMCID: PMC4379302 DOI: 10.1007/s12663-014-0637-5

Abstract

Vascular transformation of sinuses (VTS) is a rare and reactive vasoproliferative disorder infrequently affecting the cervical lymph nodes. It is characterized by effacement of nodal architecture by variable expansion of the subcapsular, intermediate, and medullary sinuses. We report a very rare and unique case of VTS in bilateral cervical lymph nodes along with angiolipomatous hamartoma in a postoperative patient of squamous cell carcinoma of buccal mucosa clinically masquerading as tumor recurrence. To the best of our knowledge, only 15 cases of VTS have been reported in cervical lymph nodes till date and associated angiolipomatous or angiomyomatous hamartoma-like area was noted only in two cases of cervical lymph node VTS.

Keywords: Cervical; Hamartoma; Post-operative; Post-radiotherapy; Vascular transformation of sinuses

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