Use of Tacrolimus ointment 0.1% for treatment of childhood localized Vitiligo : A prospective Study

Objective: The aim of this study is to analyze surgical interventions performed for neck masses causing difficulty during diagnosis and treatment process as well as to discuss recommendations of solution. Study design: This is a retrospective study in which 11 patients who underwent surgery due to a neck mass between 2006 and 2013 were evaluated. Results: Mean follow-up was 25.70±28.36 (min .6 – max .84) months. The mean age was 47.00±15.74 (min.16 max.63) years in 11 patients (7 women, 4 men) included in the study. By the histopathological evaluation, it was found that there was a metastatic squamous cell carcinoma of unknown primary in 3 patients, a benign paraganglioma in 4 patients, a schwannoma in 2 patients, Burkitt lymphoma in one patient and tuberculosis lymphadenitis in one patient. Carotid rupture occurred in 2 of 3 patients who underwent surgery for glomus caroticum. Of these, graft repair was performed in one patient while hemiplegia developed in the other. The patient who underwent surgery with an initial diagnosis of giant vagal paraganglioma died on the postoperative hour 24 due to pulmonary thromboembolism. Internal jugular vein rupture developed in the patient with Burkitt lymphoma during neck biopsy, leading neck exploration. Mean blood loss was estimated as 695.45±739.41 (min.100 max.2200) cc during surgery. Conclusion: During the diagnostic process, the most challenging issue had been failure of radiological data in terms of establishing paravertebral muscles or major vascular structures. During treatment process, the control of unexpected ruptures in internal carotid and internal jugular veins had been rather difficult.