Beghdad Dr M, Choukry Dr K, Mkhatri Dr A, El Krimi Dr Z, Oukessou Pr Y, Rouadi Pr S, Abada Pr R, Roubal Pr M, Mahtar Pr M
ENT Department, Ibn Rochd Teaching Hospital, Morocco.
Ann Med Surg (Lond). 2020 Oct 23;60:115-120. doi: 10.1016/j.amsu.2020.10.053. eCollection 2020 Dec.
Hemangioma is a common benign tumor of blood vessels, that rarely develops in the oropharynx. Cavernous hemangioma is characterized by thin-walled dilated blood vessels lined with endothelial cells.
We report a case of a 46 years-old woman who was admitted to our department with a complaint of chronic dysphonia and dysphagia. Clinical examination, radiological investigations and thyroid scintigraphy found a mass of the tongue base, compatible with a lingual thyroid. Treatment consisted of surgical excision through a cervical approach. The histopathological examination found a cavernous hemangioma.
Though hemangioma is very rare in the base of tongue, it should be a part of the differential diagnosis while investigating a lesion in the oral cavity and the oropharynx, alongside the other possibilities.
血管瘤是一种常见的血管良性肿瘤,很少发生于口咽部位。海绵状血管瘤的特征是由内皮细胞衬里的薄壁扩张血管。
我们报告一例46岁女性患者,因慢性声音嘶哑和吞咽困难入院。临床检查、影像学检查和甲状腺闪烁扫描发现舌根有一肿物,符合舌甲状腺表现。治疗方法为经颈部入路手术切除。组织病理学检查发现为海绵状血管瘤。
尽管血管瘤在舌根非常罕见,但在检查口腔和口咽病变时,它应作为鉴别诊断的一部分,与其他可能情况一并考虑。