Liu Ya, Xu Yaping, Wang Qinying, Chen Qiongqiong
Department of Otolaryngology, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang, China.
Medicine (Baltimore). 2019 Dec;98(50):e18385. doi: 10.1097/MD.0000000000018385.
Cellular angiofibroma is a rare benign mesenchymal tumor which mostly occurs in the superficial soft tissues of the genital region. Occurrence in the head and neck region is extremely rare. To our knowledge, this is the first case of cellular angiofibroma arising in the hypopharynx.
PATIENT'S CONCERNS: A 54-year-old male complained of a mass moving through his throat for 1 month. A tumor was found in the right lateral wall of the pharyngeal at the level of the epiglottis by laryngoscope. Magnetic resonance imaging confirmed the presence of a mass in the right lateral pharyngeal area. A benign tumor was suspected based on the clinical symptoms and imaging findings.
A supporting laryngoscope was performed under general anesthesia and the lesion was resected. Immunohistochemical analysis revealed cellular angiofibroma.
The patient underwent surgical excision of the lesion.
Thus far, no recurrence has been observed 6 months after excision.
Cellular angiofibroma located in the lateral pharyngeal is rare; however, immunohistochemical staining is helpful for its diagnosis. Treatment is relatively simple and requires local excision and follow-up.
细胞性血管纤维瘤是一种罕见的良性间叶组织肿瘤,主要发生于生殖器区域的浅表软组织。发生于头颈部区域极为罕见。据我们所知,这是首例发生于下咽的细胞性血管纤维瘤。
一名54岁男性主诉咽喉部有肿物移动1个月。喉镜检查发现会厌水平下咽右侧壁有一肿物。磁共振成像证实右侧咽区有一肿物。根据临床症状和影像学表现怀疑为良性肿瘤。
在全身麻醉下进行支撑喉镜检查并切除病变。免疫组化分析显示为细胞性血管纤维瘤。
患者接受了病变的手术切除。
截至目前,切除术后6个月未观察到复发。
位于咽外侧的细胞性血管纤维瘤罕见;然而,免疫组化染色有助于其诊断。治疗相对简单,需要局部切除并随访。