咽旁间隙脂肪瘤病伴继发性呼吸困难、吞咽困难和发音障碍。
Parapharyngeal space lipomatosis with secondary dyspnea, disphagia and disphonia.
作者信息
Garcia-Ortega Dorian Yarih, Gomez-Pedraza Antonio, Luna-Ortiz Kuauhyama
机构信息
Department of Skin and Soft Tissue Tumors and Department of Head and Neck at the Instituto Nacional de Cancerología(México), Av San Fernando #22 Col Sección XVI, Tlalpan Distrito Federal CP 14080, Mexico.
Department of Skin and Soft Tissue Tumors and Department of Head and Neck at the Instituto Nacional de Cancerología(México), Av San Fernando #22 Col Sección XVI, Tlalpan Distrito Federal CP 14080, Mexico.
出版信息
Int J Surg Case Rep. 2015;15:54-6. doi: 10.1016/j.ijscr.2015.08.016. Epub 2015 Aug 14.
INTRODUCTION
Parapharyngeal space tumors are a small percentage of all head and neck neoplasms. Due to their anatomic location, they represent a therapeutic challenge. To our knowledge, 11 cases of parapharyngeal lipomatous tumors have been reported in the literature.
CASE
A 48 year old male with chief complaints of dyspnea, dysphagia and dysphonia was found to have a parapharyngeal space tumor. He was scheduled to undergo lumpectomy and neck exploration.
DISCUSSION
Benign tumors represented 70% of all cases. Open neck surgery is considered the gold-standard of treatment.
CONCLUSION
It is important to bear in mind the lipomas of the parapharyngeal space to establish an accurate diagnosis and implement timely, appropriate treatment in order to avoid future complications and reduce morbidity and mortality.
引言
咽旁间隙肿瘤在所有头颈部肿瘤中占比很小。由于其解剖位置特殊，对其治疗颇具挑战性。据我们所知，文献中已报道了11例咽旁脂肪瘤性肿瘤。
病例
一名48岁男性，主要症状为呼吸困难、吞咽困难和声音嘶哑，被发现患有咽旁间隙肿瘤。他计划接受肿块切除术和颈部探查术。
讨论
良性肿瘤占所有病例的70%。开放性颈部手术被认为是治疗的金标准。
结论
必须牢记咽旁间隙脂肪瘤，以便做出准确诊断并及时进行适当治疗，从而避免未来出现并发症并降低发病率和死亡率。
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