Nascimento Silva Bona do, Santos Flávio Carvalho, Pinheiro Mariana de Novaes Santos Magalhães
Department of ENT, Instituto de Neurociencias, Teresina, Piaui, Brazil.
Department of Otolaryngology, Hospital Flávio Santos, Teresina, Piaui, Brazil.
Int Arch Otorhinolaryngol. 2014 Jul;18(3):325-7. doi: 10.1055/s-0033-1364171. Epub 2014 May 13.
Introduction Fibrovascular polyps (FVPs) are rare benign tumors originating in the cervical esophagus, and, rarely, in the hypopharynx. A case of FVP from the larynx has not yet been described in the literature. Objectives To discuss a unique case of FVP originating in the larynx. Resumed Report A 58-year-old woman presented with a 6-month history of progressive dysphagia. Endoscopic exams identified an elongated polypoid lesion originating from the mucosa of the epiglottis and the right pharyngoepiglottic fold. Excision of this mass under direct laryngoscopy revealed an 11.5 × 0.8-cm polypoid lesion, histologically diagnosed as an FVP. Conclusion The location of this FVP is important because, despite being a benign tumor, it carries a potentially lethal risk of upper airway obstruction.
引言 纤维血管息肉（FVP）是起源于颈段食管的罕见良性肿瘤，很少起源于下咽。喉内发生FVP的病例尚未见文献报道。目的 探讨一例起源于喉的FVP的独特病例。病例报告 一名58岁女性，有6个月进行性吞咽困难病史。内镜检查发现一个细长的息肉样病变，起源于会厌黏膜和右侧咽会厌襞。在直接喉镜下切除该肿物，发现一个11.5×0.8厘米的息肉样病变，组织学诊断为FVP。结论 该FVP的位置很重要，因为尽管它是良性肿瘤，但有导致上呼吸道梗阻的潜在致命风险。
