Behera Ganakalyan, Gupta Vikas, Mishra Utkal Priyadarshi, Tandon Ashwani
Department of Otorhinolaryngology-Head and Neck Surgery, All India Institute of Medical Sciences, Saket Nagar, Bhopal, Madhya Pradesh 462020 India.
Department of Pathology and Lab Medicine, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh 462020 India.
Indian J Otolaryngol Head Neck Surg. 2022 Dec;74(Suppl 3):4646-4648. doi: 10.1007/s12070-021-02956-4. Epub 2021 Oct 29.
Angiofibroma arising from sites other than nasopharynx is rare and termed as Extra nasopharyngeal angiofibroma (ENA). ENAs commonly arise from nasal septum, maxillary sinus, and inferior turbinate. But angiofibroma arising from oropharynx have not been frequently reported. We present here a case of middle-aged male who presented with a large pedunculated oropharyngeal mass attached to palatopharyngeal fold. Endoscopic radiofrequency assisted transoral excision of mass was done. Histopathological features were consistent with angiofibroma arising from oropharynx. Patient recovered well with no evidence of recurrence till 18 months of follow up. In this report, we have tried to emphasize the diagnostic workup for oropharyngeal mass. This report also provides an insight into the clinical and pathological behavior of extra nasopharyngeal angiofibroma.
起源于鼻咽以外部位的血管纤维瘤较为罕见,被称为鼻咽外血管纤维瘤(ENA)。ENA通常起源于鼻中隔、上颌窦和下鼻甲。但起源于口咽的血管纤维瘤鲜有报道。我们在此报告一例中年男性,其表现为附着于腭咽皱襞的带蒂口咽巨大肿物。通过内镜射频辅助经口切除肿物。组织病理学特征与起源于口咽的血管纤维瘤相符。患者恢复良好,随访18个月无复发迹象。在本报告中,我们试图强调对口咽肿物的诊断检查。本报告还提供了对鼻咽外血管纤维瘤临床和病理行为的见解。