Facial Mass: Causes & Reasons

Possible Causes for Facial Mass

The mass deeply invaded the full thickness of the nasal skin, with evidence of right nasal obstruction as seen in the image below. [emedicine.medscape.com]

The rest of her facial skin contained no additional lesions. The bilateral intraparotid and jugulodigastric nodes were normally sized. [emedicine.medscape.com]

Epidermoid Cyst

Computed tomography revealed a well-defined cystic mass of homogeneous low density with no enhancement. [ncbi.nlm.nih.gov]

[…] defined lucency whichis usually unilocular.• Irregular calcified masses ofvarying sizes may be seenwithin the lucency.• Displacement of root/rootswith or without rootresorption [slideshare.net]

A 63-year-old male presented with a rare epithelial cyst in the left cerebellopontine angle manifesting as left facial nerve paresis and left cerebellar signs. [ncbi.nlm.nih.gov]

Burkitt Lymphoma

The endemic form typically arises facial bones, especially the mandible, while the sporadic and immunodeficiency-associated forms often arise as an abdominal mass. [pathwaymedicine.org]

Most commonly, Burkitt lymphoma affects the jaw and other facial bones in Africa, while in USA it can affect the bowel and the abdomen. [bookinghealth.com]

mass/swelling and ascites. [patient.info]

Lethal Midline Granuloma

nasal bleeding, nasal obstruction, palate perforation (i.e. midline perforation of the hard palate), and mid-facial and/or upper airway destructive lesions. [orpha.net]

Physical exam Upon observation, key findings include facial swelling and erythema. [symptoma.com]

Lesions in the orbit include orbital masses, lacrimal swelling, and uveitis. Parotid swelling may occur, with or without facial nerve involvement. [headnecksurgery.wordpress.com]

Malignant Melanoma of the Skin

Picture of Malignant Melanoma Malignant melanoma in childhood is rare, accounting for less than 2% of all cases of these skin cancers. Moles may be suspicious for melanoma if they have multiple colors or if they have irregularly shaped borders. Moles that itch, bleed, or form an ulcer are also suspect. Melanoma is[…] [emedicinehealth.com]

Lymphadenitis

J Laryngol Otol. 2014 Jun;128(6):561-4. doi: 10.1017/S0022215114001261. Epub 2014 Jun 9. Author information 1 Department of Otorhinolaryngology/Head and Neck Surgery,Hamamatsu University School of Medicine,Japan. 2 Division of Pathology,Hamamatsu University School of Medicine,Japan. 3 Department of Internal Medicine[…] [ncbi.nlm.nih.gov]

Hemangiosarcoma

Splenic hemangiosarcoma is a rare and aggressive tumor. Up to now, less than 150 cases have been reported. We describe a patient with a rapide course. The diagnosis of hemangiosarcoma was based on immunohistochemical tests (factor-VIII-associated antigen, CD31, CD34). Despite the improvement of diagnostic[…] [ncbi.nlm.nih.gov]

Ameloblastic Fibrosarcoma

mass. [ncbi.nlm.nih.gov]

mass with accompanying paresthesia Diagnosis Diagnosis dependent on clinical, radiologic and pathologic correlation Radiology description Appears as an expansive, multilocular [pathologyoutlines.com]

The ameloblastic fibrosarcoma extended from the facial region to the orbit, anterior and middle fossa skull base, the infratemporal fossa, and the cavernous sinus. [ncbi.nlm.nih.gov]

Epignathus

A baby boy who had a left facial mass detected on antenatal ultrasound was delivered by Caesarian section after foetal distress was detected. [biij2.org]

mass detected on antenatal ultrasound was delivered by Caesarian section after foetal distress was detected. [semanticscholar.org]

Sazilah Ahmad Sarji, +1 author Thiruvengada Ramanujam Published in Biomedical imaging and intervention journal 2008 DOI: 10.2349/biij.4.2.e18 A baby boy who had a left facial [semanticscholar.org]

Facial Nerve Neoplasm

Our objective was to provide the management guidelines for facial nerve schwannomas (FNSs) presenting as a parotid mass. [scienceopen.com]

A clinical case of a patient with an asymptomatic parotid mass diagnosed as a facial nerve schwannoma intraoperatively is presented. [scienceopen.com]

Our objective was to provide a diagnostic algorithm for facial nerve schwannomas presenting as a parotid mass. The study is a case report and literature review. [scienceopen.com]

Middle Ear Adenoma

The patient underwent surgery, during which the middle ear mass was resected by using a transmastoid and transcanal approach to the middle ear space, including facial recess [ncbi.nlm.nih.gov]

[…] of the incus (long white arrow) and neck of the malleus, with a portion sitting posteriorly on the pyramidal eminence (white arrowhead) between the sinus tympani and the facial [ncbi.nlm.nih.gov]

The mass directly abutted not only the malleus but also the stapes, with no evidence of erosion. Pathology revealed a middle ear adenoma (on-line Fig 1). [ncbi.nlm.nih.gov]

Malignant Parotid Gland Neoplasm

Is the mass located underneath the facial nerve? Is it located on top of the facial nerve? Perhaps the nerve is even going through the mass itself! [fauquierent.net]

A growing mass is the main symptom, sometimes accompanied by facial nerve palsy and associated pain, but in the majority of cases, an asymptomatic course is observed until [symptoma.com]

Facial Nerve is Going THROUGH the Parotid Mass This scenario is quite tricky. [fauquierent.net]

Orbital Periostitis

Pathophysiology Compression of structures in superior orbital fissure syndrome can be attributed to a bony fragment (such as with facial fractures) or mass effect. [eyewiki.aao.org]

Other findings which may give insight into underlying etiology include: Chemosis and bruits in vascular causes: due to altered blood flow and vascular congestion [3] Facial [eyewiki.aao.org]

[…] trauma patients may concurrent subconjunctival hemorrhage, periorbital ecchymosis and soft tissue contusion [3] Extensive masses in the region of the superior orbital fissure [eyewiki.aao.org]

Ameloblastic Fibro-Odontosarcoma

45%) arise from ameloblastic fibroma De novo tumors tend to occur in younger patients Clinical features Patients often present with swelling and pain Occasionally painless facial [pathologyoutlines.com]

Absence of Nasal Bones

Some mechanisms are proposed in order to explain the phenomenon of paranasal cavity development: nasal airflow, brain growth, muscle mass traction and facial structures and [bjorl.org]

Mucoepidermoid Carcinoma

[…] including neck dissection; facial nerve was rescued. [medicoebambino.com]

[…] pre-surgical assessment the computed tomography showed no other abnormalities apart from the primary lesion so that the patient received complete surgical excision of the mass [medicoebambino.com]

Malignant Glandular Peripheral Nerve Sheath Tumor

Clinical case Nine year old male, with a base diagnosis of NF1, who had exophthalmos, retro-ocular pain, headache, facial asymmetry and descent of the right eyeball, that [revistaneurocirugia.com]

This patient showed in the Computed Tomography an Magnetic Resonance, a well delimited, lobulated, solid mass at the eyeball, which extended to the fontal and temporal brain [revistaneurocirugia.com]

Parotid Gland Adenoma and Adenocarcinoma

Presentation is usually with the common symptom of infra-auricular mass. Facial palsy or pain usually may not exist at the first time ( Figure 2 ). [alliedacademies.org]

Initially, the mass was resected with preservation of the facial nerve, but this caused facial palsy. [karger.com]

The parotid mass was painless without facial nerve paralysis. [ajnr.org]

Warthin Tumor

A painless facial mass was the most common presenting symptom (97.3%). One patient presented with acute parotitis and another with facial nerve weakness. [hoajonline.com]

Background: A facial nerve palsy combined with a parotid mass commonly suggests malignancy. [oatext.com]

[…] in the right parotid region for 2 years with recent onset of mild facial nerve weakness. [mjmsr.net]

Carcinoma Ex Pleomorphic Adenoma

Following appropriate workup, he undergoes surgical resection of the right facial mass. A representative histological image is provided above. [pathologyoutlines.com]

[…] in parotid region (Ear Nose Throat J 2019;98:504) May present as a sudden increase in size of a preexisting lump, pain or facial paresis / paralysis Long history of a mass [pathologyoutlines.com]

Comment Here Reference: Carcinoma ex pleomorphic adenoma Board review style question #2 A 57 year old man presents with right facial swelling and paralysis. [pathologyoutlines.com]

Nasal Encephalocele

Frontoethmoidal encephaloceles can be recognized as a facial mass covered with normal skin, while basal encephaloceles may cause nasal obstruction or symptoms related to herniation [ncbi.nlm.nih.gov]

Claude Syndrome

At the onset, the classic triad of signs and symptoms consists in eyelid ptosis, ipsilateral miosis and facial anhidrosis. [medicoebambino.com]

[…] etiologies of this syndrome could be congenital causes, including birth trauma, carotid abnormalities and acquired ones, comprising surgery sequelae, neoplasm, and benign neck masses [medicoebambino.com]

Meningoencephalocele

Abstract A 10-day-old, Holstein calf with facial mass of 10 cm in diameter at the forehead region referred to Veterinary Medical Teaching Hospital in Chungnam National University [koreascience.or.kr]

Physical examination shows a bluish, soft, compressible mass in the midline of the nasal root, or intranasally with possible distortion of surrounding facial features such [dermatologyadvisor.com]

Facial findings: Hypertelorism Elongation of face Nasal airway obstruction Dental malocclusion Associated intracranial abnormalities: Hydrocephalus Microcephaly Cerebral dysplasia [aao.org]

X-Linked Hypogonadotropic Hypogonadism without Anosmia

Secondary sex characteristics are weakly defined, with nXHH patients having scant facial, axillary, and pubic hair, a relatively small muscle mass, but a higher percentage [symptoma.com]

Epithelial-Myoepithelial Carcinoma

The mass was seen to be located on the facial trunk but there was no adherence to the nerve function [Figure 1]c. [njcponline.com]

Usually unilateral Rarely presents with facial nerve palsy and lymphadenopathy, may indicate high grade transformation (Medicine (Baltimore) 2017;96:e8988) Diagnosis Clinical [pathologyoutlines.com]

Ultrasonography of the parotid gland suggested a mixed mass of the left parotid gland, with a size of about 3.29 × 2.48 cm, unclear boundaries, regular shape, slightly lower [journals.lww.com]

Juvenile Ossifying Fibroma

A few cases of facial trauma have been suggested as a possible etiologic factor in the JOF development.[3] Clinically, the symptoms are variable and include facial swelling [ncbi.nlm.nih.gov]

enlarging hard mass, sinusitis, nasal obstruction, teeth displacement, eye proptosis, and pain.The present patient was 28-years-old and demonstrated a swelling on the left [ncbi.nlm.nih.gov]

Osteoma of the Mandible

CT images revealed well-circumscribed dense, radiopaque masses located coronoid process.we present a Aesthetic facial correction for this cases. [ispub.com]

Osteomas can be solitary or multiple masses, and they are generally asymptomatic. [ncbi.nlm.nih.gov]

On examination, the patient had no facial asymmetry and a well-defined, oval, sessile immobile mass was present in the lingual plate of the left posterior mandible with lingual [jiaomr.in]

Pleomorphic Adenoma

The mass was excised with careful preservation of the facial nerve. The 3.5 cm mass was submitted for histopathological examination. [ncbi.nlm.nih.gov]

A healthy 56-year-old woman presented to our institution with a 20-year duration of a slowly growing right cheek soft tissue mass that was causing facial asymmetry. [ncbi.nlm.nih.gov]

The parotid mass was painless without facial nerve paralysis. [ajnr.org]

Epithelioid Neurofibroma

(BMC Surg 2010;10:1) Treatment Surgical excision is the treatment of choice Local recurrence is uncommon Delayed facial nerve palsy can occur after surgical removal of vestibular [pathologyoutlines.com]

[…] palpable vulvar mass (Case Rep Dermatol 2018;10:41) 61 year old woman with mass in right mandible (Medicine (Baltimore) 2015;94:e1974) 64 year old woman with abdominal wall mass [pathologyoutlines.com]

Well circumscribed cutaneous mass Gross description Usually solitary Most lesions are completely encapsulated Nerve of origin may be present at the periphery - does not penetrate [pathologyoutlines.com]

Malignant Salivary Gland Neoplasm

Initially, the mass was resected with preservation of the facial nerve, but this caused facial palsy. [karger.com]

Clinical features of a salivary gland mass suggestive of malignancy are: Hardness Fixation Tenderness Infiltration of surrounding structures, e.g. facial nerve, local lymph [ent-surgery.com.au]

Facial palsy with a salivary gland mass indicates malignancy. Pain can occur with both benign and malignant tumours. [patient.info]