title: Intramuscular myxoma of the paraspinal muscles: A case report and systematic review of the literature.
abstract: Intramuscular myxoma (IM) is a rare mesenchymal tumor of the head and neck region. The current study reports a case of a 45-year-old man who presented with a painless neck mass. Imaging showed involvement of the levator scapulae and scalene muscles. Core needle biopsy was consistent with intramuscular myxoma. Surgical excision was performed and follow-up for 30 months showed no recurrence. The present study includes a systematic review of head and neck IMs, with a summary of the clinical and demographic parameters of all reported cases in the head and neck region. Surgery was curative in 28 of the 29 published cases, as well as in the current case (96.7%), with the lone recurrent tumor cured following re-resection. Females constituted 57% of the cases and the mean age was 49.7±20.4 years. Although uncommon, IM should be considered in the differential diagnosis of deep neck masses, and surgical excision is the treatment of choice with a low risk of recurrence.
authors: Department of Microbiology and Immunology, Medical University of South Carolina, Charleston, SC 29425, USA.
authors: Saleh
authors: S
authors: Rachidi
authors: Head and Neck Tumor Center, Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, SC 29425, USA.
authors: Amit J
authors: AJ
authors: Sood
authors: Department of Pathology, Medical University of South Carolina, Charleston, SC 29425, USA.
authors: Tihana
authors: T
authors: Rumboldt
authors: Head and Neck Tumor Center, Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, SC 29425, USA.
authors: Terry A
authors: TA
authors: Day
keywords: cervical; intramuscular; myxoma; paraspinal; tumor