Locally advanced nasopharyngeal follicular dendritic cell sarcoma misdiagnosed as meningioma

Abstract Follicular dendritic cell sarcoma (FDCS) is a rare malignancy, often challenging to diagnose due to its nonspecific presentation and resemblance to other neoplasms. This case highlights a locally advanced nasopharyngeal FDCS initially misdiagnosed as a meningioma, underscoring the importanc...

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Main Authors: Yoldez Houcine, Abir Rais, Salma Kamoun, Sawssen Dhambri, Souhaeil Jebali, Maha Driss
Format: Article
Language:English
Published: Springer 2025-01-01
Series:Discover Oncology
Subjects:
Online Access:https://doi.org/10.1007/s12672-024-01366-6
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author Yoldez Houcine
Abir Rais
Salma Kamoun
Sawssen Dhambri
Souhaeil Jebali
Maha Driss
author_facet Yoldez Houcine
Abir Rais
Salma Kamoun
Sawssen Dhambri
Souhaeil Jebali
Maha Driss
author_sort Yoldez Houcine
collection DOAJ
description Abstract Follicular dendritic cell sarcoma (FDCS) is a rare malignancy, often challenging to diagnose due to its nonspecific presentation and resemblance to other neoplasms. This case highlights a locally advanced nasopharyngeal FDCS initially misdiagnosed as a meningioma, underscoring the importance of differential diagnosis in unusual tumor presentations. A 77-year-old patient presented with nasal obstruction for 3 months. Imaging studies revealed a mass in the nasopharynx prolapsing into the oropharynx, leading to an initial diagnosis of meningioma based on its radiologic appearance. Surgical resection was performed, and histopathological examination, supplemented by immunohistochmical staining, revealed features consistent with follicular dendritic cell sarcoma. The tumor was locally advanced, involving surrounding structures, which complicated the initial clinical and radiologic assessment.
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spelling doaj-art-36b5b330440043ea8e56f0202326f0f52025-01-12T12:29:16ZengSpringerDiscover Oncology2730-60112025-01-011611610.1007/s12672-024-01366-6Locally advanced nasopharyngeal follicular dendritic cell sarcoma misdiagnosed as meningiomaYoldez Houcine0Abir Rais1Salma Kamoun2Sawssen Dhambri3Souhaeil Jebali4Maha Driss5Pathology Department, Salah Azeiz InstitutePathology Department, Salah Azeiz InstitutePathology Department, Salah Azeiz InstituteOto-Rhino-Laryngology and maxillo-facial surgery Department, Salah Azeiz InstituteOto-Rhino-Laryngology and maxillo-facial surgery Department, Salah Azeiz InstitutePathology Department, Salah Azeiz InstituteAbstract Follicular dendritic cell sarcoma (FDCS) is a rare malignancy, often challenging to diagnose due to its nonspecific presentation and resemblance to other neoplasms. This case highlights a locally advanced nasopharyngeal FDCS initially misdiagnosed as a meningioma, underscoring the importance of differential diagnosis in unusual tumor presentations. A 77-year-old patient presented with nasal obstruction for 3 months. Imaging studies revealed a mass in the nasopharynx prolapsing into the oropharynx, leading to an initial diagnosis of meningioma based on its radiologic appearance. Surgical resection was performed, and histopathological examination, supplemented by immunohistochmical staining, revealed features consistent with follicular dendritic cell sarcoma. The tumor was locally advanced, involving surrounding structures, which complicated the initial clinical and radiologic assessment.https://doi.org/10.1007/s12672-024-01366-6Follicular dendritic cell sarcomaNasopharynxDifferential diagnosesImmunphistochemistry
spellingShingle Yoldez Houcine
Abir Rais
Salma Kamoun
Sawssen Dhambri
Souhaeil Jebali
Maha Driss
Locally advanced nasopharyngeal follicular dendritic cell sarcoma misdiagnosed as meningioma
Discover Oncology
Follicular dendritic cell sarcoma
Nasopharynx
Differential diagnoses
Immunphistochemistry
title Locally advanced nasopharyngeal follicular dendritic cell sarcoma misdiagnosed as meningioma
title_full Locally advanced nasopharyngeal follicular dendritic cell sarcoma misdiagnosed as meningioma
title_fullStr Locally advanced nasopharyngeal follicular dendritic cell sarcoma misdiagnosed as meningioma
title_full_unstemmed Locally advanced nasopharyngeal follicular dendritic cell sarcoma misdiagnosed as meningioma
title_short Locally advanced nasopharyngeal follicular dendritic cell sarcoma misdiagnosed as meningioma
title_sort locally advanced nasopharyngeal follicular dendritic cell sarcoma misdiagnosed as meningioma
topic Follicular dendritic cell sarcoma
Nasopharynx
Differential diagnoses
Immunphistochemistry
url https://doi.org/10.1007/s12672-024-01366-6
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