Abtahi Sayed Hamidreza, Eshaghian Afrooz, Abootalebian Farzaneh
Department of Otorhinolaryngology, Isfahan University of Medical Sciences, Isfahan, Iran.
Iran J Otorhinolaryngol. 2014 Oct;26(77):267-9.
Lipomas of the larynx are very rare benign lesions; macroscopically, they resemble retention cysts, so their diagnosis is usually made after surgery.
A rare case of pediatric paraglottic space Lipoma in an 11-year-old boy is explained. The mass was mobile, soft, without fluctuation or pulsation. CT scan revealed a 5.7 cm cervical fat density with regional lymphadenopathy. After lateral neck incision, a mass located deep in the carotid artery, which was attached to the larynx and which extended to the paraglottic space, was excised completely. Pathologic evaluation revealed Lipoma without any evidence of malignant cells present.
This rare differential diagnosis for neck masses in pediatric population should be considered.
喉脂肪瘤是非常罕见的良性病变;在宏观上,它们类似于潴留囊肿,因此其诊断通常在手术后做出。
本文阐述了一名11岁男孩罕见的声门旁间隙脂肪瘤病例。肿块可活动,质地柔软,无波动感或搏动。CT扫描显示一个5.7厘米的颈部脂肪密度影,并伴有区域淋巴结肿大。经颈部外侧切口,切除了一个位于颈动脉深部、附着于喉部并延伸至声门旁间隙的肿块。病理评估显示为脂肪瘤,未发现任何恶性细胞迹象。
对于儿科人群颈部肿块应考虑这种罕见的鉴别诊断。