Department of ENT - Head and Neck Surgery, All India Institute of Medical Sciences, New Delhi, India.
Department of ENT - Head and Neck Surgery, All India Institute of Medical Sciences, New Delhi, India
BMJ Case Rep. 2022 Nov 10;15(11):e250085. doi: 10.1136/bcr-2022-250085.
A man in his early 80s presented to the otorhinolaryngology department with progressively worsening dysphagia to solids and a recent episode of difficulty breathing accompanied by a very brief expulsion of a solid mass from the mouth. Based on the endoscopic appearance of a fatty lesion of an elongated mass with a thick stalk on the posterior pharyngeal wall, a diagnosis of the benign fibrovascular polyp was given after clinical and radiological correlation. The pharyngeal polyp was resected at the base of its pedicle by transoral endoscopy with a thunder beat vessel sealing device. Histopathological examination of the mass revealed a well-differentiated liposarcoma composed of mature adipocytes. Following surgical excision, the patient made a full recovery. This case signifies the integrated role of preoperative biopsy, new surgical technologies and targeted therapies in managing pharyngoesophageal polyps.
一位 80 岁出头的男性因进行性加重的固体食物吞咽困难和近期呼吸困难发作(伴有一口固体物质的短暂喷出)就诊耳鼻喉科。基于内镜下表现,即后咽壁上有一个带有粗蒂的长形脂肪性病变,在临床和影像学相关性检查后,给出了良性纤维血管息肉的诊断。采用经口内镜下雷射吻合器对咽息肉的蒂部进行切除。肿块的组织病理学检查显示为成熟脂肪细胞组成的分化良好的脂肪肉瘤。在外科切除后,患者完全康复。本例表明术前活检、新型外科技术和靶向治疗在处理咽食管息肉中的综合作用。