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下咽纺锤状细胞脂肪瘤所致吞咽困难:临床病例展示及文献综述

Dysphagia caused by spindle cell lipoma of hypopharynx: presentation of clinical case and literature review.

作者信息

Peña-Valenzuela Alberto, García León Nathalia

机构信息

Otolaryngology Department, Universidad Nacional de Colombia, Carrera 35A No. 57-91, Apartamento 304, Bogotá, Colombia.

出版信息

Case Rep Otolaryngol. 2012;2012:107383. doi: 10.1155/2012/107383. Epub 2012 Dec 26.

Abstract

Spindle cell lipoma of the hypopharynx is an extremely rare entity. Here, we present the first case of this lesion originated in the cricopharyngeal region, with symptoms of chronic progressive dysphagia, which can be confused with other pathologies; endoscopic and magnetic resonance imaging (MRI) evaluation are the methods of choice for its diagnostic approach. The best therapeutic approach is endoscopic resection with rapid recovery and few complications. Long-term followup is recommended, either endoscopic or imaging, given that it can be confused with an undiagnosed liposarcoma; additionally, its long-term behavior is unknown.

摘要

下咽纺锤状细胞脂肪瘤是一种极其罕见的病变。在此,我们报告首例起源于环咽肌区域的该病变病例,患者有慢性进行性吞咽困难症状,易与其他病症混淆;内镜检查和磁共振成像(MRI)评估是其诊断方法的首选。最佳治疗方法是内镜下切除,恢复快且并发症少。鉴于其可能与未确诊的脂肪肉瘤混淆,且其长期行为尚不清楚,建议进行长期的内镜或影像学随访。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2dd0/3541572/2c368817fcab/CRIM.OTOLARYNGOLOGY2012-107383.001.jpg

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