Yoshida Masafumi, Mori Ayumi, Kanemoto Kai, Shoji Shizuka, Furukawa Asayo
Department of Otolaryngology, Showa General Hospital, Tokyo, JPN.
Department of Otolaryngology and Head and Neck Surgery, The University of Tokyo Hospital, Tokyo, JPN.
Cureus. 2022 Mar 27;14(3):e23534. doi: 10.7759/cureus.23534. eCollection 2022 Mar.
An 89-year-old man presented with the chief complaint of a sore throat and a mass in the right side of his neck that tended to increase in size. He displayed the right Horner's sign, and imaging findings showed a 65-mm mass in the right side of the neck, invading the carotid artery. There were no other obvious lesions. The differential diagnosis was carcinoma of an unknown primary or neurogenic tumor. An incisional biopsy was performed, and the pathological diagnosis was lymphomatoid granulomatosis. The patient was started on oral prednisolone, but the disease progressed, and his general condition worsened. Therefore, supportive care was provided. This was a very rare case of a cervical lesion of lymphomatoid granulomatosis.
一名89岁男性因咽痛及右侧颈部肿物且肿物有增大趋势为主诉前来就诊。他出现了右侧霍纳综合征,影像学检查发现右侧颈部有一个65毫米的肿物,侵犯了颈动脉。没有其他明显病变。鉴别诊断为原发灶不明的癌或神经源性肿瘤。进行了切开活检,病理诊断为淋巴瘤样肉芽肿病。患者开始口服泼尼松龙,但病情进展,全身状况恶化。因此,给予了支持治疗。这是一例非常罕见的淋巴瘤样肉芽肿病颈部病变病例。