A solitary manifestation of mastocytosis in the head and neck.
Solitary mastocytosis in adulthood is a rare finding. Only two such lesions have been reported in the head and neck. We describe a 27-year-old woman who had a 10-year history of a forehead swelling that had fluctuated in size. Light trauma or pressure on the lesion resulted in an increase in its size. A mass was found to be situated just below the galea and was successfully removed surgically using a high forehead lift. Histologically, the specimen contained predominantly mast cells. A systemic mastocytosis was excluded by a multidisciplinary diagnostic approach and measurement of the 24-h urinary excretion of histamine metabolites. After 36 months of follow-up there has been no recurrence.
Mylanus
E A
EA
Department of Otorhinolaryngology, University Hospital of Nijmegen, The Netherlands.
Wielinga
E W
EW
van de Nes
J A
JA
D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D005624:Frontal Bone / Q000473:pathology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008407:Mast Cells / Q000473:pathology; D008415:Mastocytosis / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D012535:Scalp / Q000473:pathology / Q000601:surgery; D012536:Scalp Dermatoses / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery