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Columnar Cell Variant of Papillary Thyroid Carcinoma

myxoid variant of liposarcoma. Methods: A review of the literature of all reported cases and descriptions of the spindle cell lipoma in the head and neck was performed using a MEDLINE search from 1966 to present. Report of the first known case to involve the soft palate and nasopharynx was prepared. Results: Data obtained were compiled and assimilated into a comprehensive review of the presentation of spindle cell lipoma in the head and neck. Clinical presentation, diagnosis, treatment, and pathologic implications were specified. A detailed report of the first known case to involve the nasopharynx and soft palate was prepared with detailed intraoperative photographic, radiologic, and photomicrographic demonstrations. Conclusion: Spindle cell lipoma represents a rare variant of the more commonly seen simple lipoma. Its presentation in the head and neck mimics that of many other benign and malignant soft tissue masses. The diagnosis can only be made on histologic findings and may be confused with the myxoid variant of liposarcoma. The importance of making this distinction cannot be overstated since the treatment options would be markedly different. We believe this to be the first reported incidence of involvement of the soft palate or nasopharynx.