Namyslowski Grzegorz, Scierski Wojciech, Misiolek Maciej, Urbaniec Natalia, Lange Dariusz
Department of Otolaryngology, Silesian Medical University, Curie-Sklodowskiej Str. 10, 41-800, Zabrze, Poland.
Eur Arch Otorhinolaryngol. 2006 Aug;263(8):738-40. doi: 10.1007/s00405-006-0050-x. Epub 2006 May 4.
Lipoma of the retropharyngeal space is a very rare benign tumor often causing unspecific clinical symptoms. The most common symptoms are dysphagia and/or respiratory disturbances. The clinical diagnosis may be difficult. The radiological imaging techniques (CT and MRI) can provide adequate information with regard to the composition and extension of the tumor, although final histological confirmation is essential. Surgery is the treatment of choice. We present a case of 40-year-old male patient complaining of obstructive sleep apnea symptoms (respiratory disturbances, excessive daytime somnolence, morning headache). The radiological examination (CT) showed a huge (11.7 x 7.2 cm) lipoma of the retropharyngeal space extending from the nasopharynx to the superior mediastinum. The tumor was removed via transcervical approach with complete amelioration of symptoms.
咽后间隙脂肪瘤是一种非常罕见的良性肿瘤，常引起非特异性临床症状。最常见的症状是吞咽困难和/或呼吸障碍。临床诊断可能困难。放射影像学技术（CT和MRI）可提供有关肿瘤组成和范围的充分信息，尽管最终的组织学确诊至关重要。手术是首选治疗方法。我们报告一例40岁男性患者，主诉有阻塞性睡眠呼吸暂停症状（呼吸障碍、白天过度嗜睡、晨起头痛）。放射学检查（CT）显示一个巨大的（11.7×7.2厘米）咽后间隙脂肪瘤，从鼻咽部延伸至纵隔上部。通过经颈入路切除肿瘤后症状完全缓解。
