Academic literature on the topic 'Supraclavicular swelling'

Benign neck swellings are commonly seen in adults as congenital swelling or acquired. But this case report documents the first case of two benign swellings on the same side of the neck in a male especially supraclavicular lipoma with no symptoms other than swelling. A 42-year-old male patient presented to our ENT out-patient department with one painless swelling below the right ear and another on the right side of the neck since the age of 23 years with no other specific complaints. The patient was planned for the fine needle aspiration and imaging studies which showed branchial cyst and lipoma respectively. Post-operative specimen showed a keratin cyst of the right infra-auricular area swelling and lipoma of the right Supraclavicular area swelling and the patient was followed up for 2 years with no recurrence. Our case of dual swellings with different etiopathogenesis on the same side in the head and neck region is being reported for the first time in the literature. This case report aids surgeons to plan for the complete excision with minimal complications as the swelling is close to the great vessels.

Supraclavicular swellings can have numerous differential diagnosis ranging from infections to malignancy, in almost all age groups. Here we present a case of 15 year old boy who presented with left supraclavicular swelling and clinically diagnosed as a case of Tuberculosis, underwent FNAC which was suggestive of Small Round Blue Cell Tumor favouring Ewing sarcoma. Later, trucut biopsy of the swelling confirmed the diagnosis of Ewing sarcoma. Ewing sarcoma is one of the most common primary malignancy of bone in children but can also arise from extraskeletal region like soft tissue.

Neurofibromatosis 1 is an autosomal dominant disorder characterized by cafe-au-lait spots, cutaneous neurofibroma, and bony deformities. Vascular abnormality such as stenosis, aneurysm, or rupture associated with neurofibromatosis 1 is rare. Rupture of vertebral artery aneurysm into the thoracic cavity is extremely rare. The outcomes of patients with aneurysmal ruptures are very poor when spontaneous hemothorax occur. A 31-year-old woman presented to the emergency department with left shoulder pain and with both lower chest wall pain and left supraclavicular area swelling. The chest computed tomography scan revealed about 4-cm pseudo-aneurysm probable arising from the left vertebral artery with large hematoma at left supraclavicular area. Neurofibromatosis 1 is generally being regarded as a benign disease but has the potential for serious vascular complications. When aneurysms were ruptured, cervical hematoma, hemothorax, or hypotension was developed. It is potentially a life-threatening condition, so it must require emergent management. Emergency physicians must remember the relation of neurofibromatosis 1 and serious vascular complications and ensure rapid access to rule out vascular lesions, so as to prevent the life-threatening condition.