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咽旁间隙静脉畸形的罕见表现

Rare Presentation of Venous Malformation in Parapharyngeal Space.

作者信息

Menon Nandini N, Bharathi M B

机构信息

Department of Surgical oncology, BLK- MAX Super speciality hospital, Pusa road, Rajendra Place, Delhi, 110005 India.

ENT and Head and Neck surgery, JSS Medical college and hospital, Mysore, Karanataka India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2023 Sep;75(3):2453-2455. doi: 10.1007/s12070-023-03683-8. Epub 2023 Apr 19.

Abstract

INTRODUCTION

Venous malformations are commonly seen in muscles like masseter, temporalis, tongue musculature, oral and airway mucosa in the head and neck region but is rarely seen in parapharyngeal space.

CASE SUMMARY

We report a case of a 60 year female patient who presented with foreign body sensation of throat, sticky sensation and dysphagia to solids for 2 years. She was subjected to relevant investigations including MRI and USG guided FNAC. Following which she underwent endoscopic parapharyngeal space tumour excision and specimen was sent for HPE. Post operatively patient is doing well and symptomatically better. She is being followed up on regular basis.

CONCLUSION

Parapharyngeal space tumours accounts for only 0.5% of head and neck tumours, of which 70 to 80% are benign and the rest are malignant. Out of the benign tumours of parapharyngeal space we should also keep in mind rare tumours like venous malformations.

摘要

引言

静脉畸形常见于头颈部的咬肌、颞肌、舌肌、口腔及气道黏膜等肌肉中,但在咽旁间隙很少见。

病例摘要

我们报告一例60岁女性患者,有咽喉部异物感、黏滞感及固体食物吞咽困难2年。她接受了包括MRI和超声引导下细针穿刺抽吸活检(FNAC)在内的相关检查。之后她接受了内镜下咽旁间隙肿瘤切除术,标本送病理组织学检查(HPE)。术后患者恢复良好,症状改善。她正在接受定期随访。

结论

咽旁间隙肿瘤仅占头颈部肿瘤的0.5%,其中70%至80%为良性,其余为恶性。在咽旁间隙良性肿瘤中,我们也应牢记像静脉畸形这样的罕见肿瘤。

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引用本文的文献

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本文引用的文献

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Management of vascular malformations of the parotid area.腮腺区血管畸形的处理。
Eur Ann Otorhinolaryngol Head Neck Dis. 2013 Apr;130(2):55-60. doi: 10.1016/j.anorl.2011.11.004. Epub 2013 Jan 24.
2
Venolymphatic vascular malformation in the parapharyngeal space.咽旁间隙静脉淋巴管畸形
Otolaryngol Head Neck Surg. 2012 Oct;147(4):796-8. doi: 10.1177/0194599812442613. Epub 2012 Mar 23.
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Evaluation of terminology for vascular anomalies in current literature.评估当前文献中血管异常的术语。
Plast Reconstr Surg. 2011 Jan;127(1):347-351. doi: 10.1097/PRS.0b013e3181f95b83.

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