Hanick Andrea L, Meleca Joseph B, Billings Steven D, Bryson Paul C
Head and Neck Institute, Cleveland Clinic, Cleveland, OH, USA.
Head and Neck Institute, Cleveland Clinic, Cleveland, OH, USA.
Am J Otolaryngol. 2019 Mar-Apr;40(2):331-333. doi: 10.1016/j.amjoto.2018.10.014. Epub 2018 Oct 29.
Pyogenic granuloma (PG) may involve gingival mucosa (granuloma gravidarum) in pregnancy but rarely involves the airway. This case report is perhaps the only reported presentation of PG in the larynx causing hemoptysis at a late stage of pregnancy. On laryngoscopic exam, a vascular, right false vocal fold neoplasm was identified with pathological characteristics consistent with PG. Conclusions: Pyogenic granuloma is a relatively common tumor of pregnancy but rarely involves the larynx. In the case of airway involvement during pregnancy, it is best managed in coordination with the high-risk obstetrical team and can be removed safely via standard microsurgical techniques.
化脓性肉芽肿（PG）在孕期可能累及牙龈黏膜（妊娠性肉芽肿），但很少累及气道。本病例报告可能是唯一报道的妊娠晚期喉部PG导致咯血的病例。喉镜检查发现右侧假声带处有一个血管性肿物，病理特征符合PG。结论：化脓性肉芽肿是孕期相对常见的肿瘤，但很少累及喉部。孕期气道受累时，最好与高危产科团队协作处理，可通过标准显微外科技术安全切除。
