Case Report

Not always ‘squame’: The rare entity of follicular dendritic cell sarcoma of the tonsil presenting with cervical nodal metastases

Jaanri Brugman, Gerard de Bruyn, Komeela Naidoo, Marc Merven, Johan Opperman, Leon Janse van Rensburg
South African Journal of Radiology | Vol 24, No 1 | a1978 | DOI: https://doi.org/10.4102/sajr.v24i1.1978 | © 2020 Jaanri Brugman, Gerard de Bruyn, Komeela Naidoo, Marc Merven, Johan Opperman, Leon Janse van Rensburg | This work is licensed under CC Attribution 4.0
Submitted: 01 September 2020 | Published: 17 December 2020

About the author(s)

Jaanri Brugman, Division of Radiodiagnosis, Department of Medical Imaging and Clinical Oncology, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa
Gerard de Bruyn, Division of Otorhinolaryngology, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa
Komeela Naidoo, Division of Radiation Oncology, Department of Medical Imaging and Clinical Oncology, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa
Marc Merven, Division of Otorhinolaryngology, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa
Johan Opperman, Division of Anatomical Pathology, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa
Leon Janse van Rensburg, Division of Radiodiagnosis, Department of Medical Imaging and Clinical Oncology, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa


Share this article

Bookmark and Share

Abstract

Although squamous cell carcinoma accounts for the overwhelming majority of head and neck malignant neoplasms, extranodal follicular dendritic cell sarcoma (FDCS) of the pharyngeal region can have a similar clinical presentation. The histopathological features of this rare entity have been described and emphasised in the literature. We present the case of a 65-year-old male patient with FDCS of the tonsil to illustrate the radiologic findings of FDCS and also highlight this infrequent but salient differential diagnosis for adult head and neck neoplasia.

Keywords

follicular dendritic cell sarcoma; magnetic resonance; tonsil; nodal metastasis; squamous cell carcinoma; head and neck neoplasm; oropharynx.

Metrics

Total abstract views: 581
Total article views: 619


Crossref Citations

No related citations found.