Follicular dendritic cell sarcoma of the head and neck: Case report, literature review, and pooled analysis of 97 cases

John Pang, Wojciech K. Mydlarz, Zhen Gooi, Kevin M. Waters, Justin Bishop, James J. Sciubba, Young J. Kim, Carole Fakhry

Research output: Contribution to journalArticle

24 Scopus citations

Abstract

Background Follicular dendritic cell sarcoma (FDCS) is a rare lymphoid neoplasm presenting in the head and neck. There are no pooled analyses of head and neck FDCS cases in the English language literature. Methods A MEDLINE and PubMed review of cases from 1978 to February 2014 was performed. Demographics, clinicopathologic data, and outcomes were summarized. Results We presented 2 patients and analyzed 97 cases. The mean age was 42.7 years (SD = 16.3 years). Outcomes were available for 76 patients. Tumors ≤4 cm had better disease-free survival (63% vs 28% at 5 years; p =.0282). Locoregional recurrence was significantly less likely with surgery and radiation compared to surgery alone (15% vs 45%; p =.019) and in patients receiving a neck dissection (10% vs 43%; p =.046). Conclusion This pooled analysis provides the largest sample size of FDCS of the head and neck to date and suggests that radiation and neck dissection may be beneficial to locoregional oncologic control.

Original languageEnglish (US)
Pages (from-to)E2241-E2249
JournalHead and Neck
Volume38
DOIs
StatePublished - Apr 1 2016

Keywords

  • dendritic cell
  • follicular dendritic cell sarcoma (FDCS)
  • head and neck
  • sarcoma

ASJC Scopus subject areas

  • Otorhinolaryngology

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    Pang, J., Mydlarz, W. K., Gooi, Z., Waters, K. M., Bishop, J., Sciubba, J. J., Kim, Y. J., & Fakhry, C. (2016). Follicular dendritic cell sarcoma of the head and neck: Case report, literature review, and pooled analysis of 97 cases. Head and Neck, 38, E2241-E2249. https://doi.org/10.1002/hed.24115