Okuda Hiroshi, Aoki Mitsuhiro, Ueda Natsuko, Ogawa Takenori, Mori Hideki
Otolaryngology - Head and Neck Surgery, Gifu University Graduate School of Medicine, Gifu, JPN.
Otolaryngology, Ogaki Tokushukai Hospital, Ogaki, JPN.
Cureus. 2023 Aug 24;15(8):e44042. doi: 10.7759/cureus.44042. eCollection 2023 Aug.
Infantile laryngeal hemangiomas are relatively common. However, adult vocal cord hemangiomas are extremely rare. A 46-year-old woman was referred to our department for hoarseness, which continued for 18 months. A laryngeal fiberscope revealed a small protuberant tumor resembling a polyp on her right vocal cord, and the narrow-band imaging showed abundant vascularity. Laryngeal microsurgery with a cold instrument under general anesthesia completely resected the tumor on the vocal cord. Histopathologically, the resected tumor consisted of vessels with thick walls and was diagnosed as a cavernous hemangioma of the vocal cord. After the surgery, she has never complained of hoarseness and has had no local recurrence for six months.
婴儿期喉血管瘤相对常见。然而，成人声带血管瘤极为罕见。一名46岁女性因声音嘶哑18个月转诊至我科。喉镜检查发现其右侧声带可见一小的、类似息肉的突出肿物，窄带成像显示血管丰富。在全身麻醉下使用冷器械进行喉显微手术，完整切除了声带肿物。组织病理学检查显示，切除的肿物由厚壁血管组成，诊断为声带海绵状血管瘤。术后，她未再诉声音嘶哑，且6个月内无局部复发。
