Rose S Emelda, Toong Liew Yew, Ghauth Sakina, Ong Diana Bee-Lan
Department of Otorhinolaryngology, Universiti Malaya, Kuala Lumpur, Malaysia.
Ear Nose Throat J. 2023 Nov 24:1455613231212597. doi: 10.1177/01455613231212597.
Cavernous hemangioma is a noncancerous vascular growth that arises from different parts of the head and neck region. However, parapharyngeal space contributes a very small percentage for its occurrence. We present a case of right parapharyngeal cavernous hemangioma, a very rare clinical presentation. This is a 57-year-old female presented with throat discomfort for 3 months. Examination finding showed a soft, diffuse, and non-pulsating mass over the right upper jugulodigastric region. A contrasted computed topographic scan revealed multiple calcifications in right parapharyngeal space. T2-weighted magnetic resonance imaging showed right parapharyngeal space mass with high signal and multiple phleboliths and dynamic angiogram unremarkable. Surgical resection done via transcervical approach and histopathological report revealed cavernous hemangioma with calcified thrombi. In conclusion, surgical intervention is the mainstay treatment and transcervical approach which is adopted in this case is the commonest approach used in surgical resection of cavernous hemangioma.
海绵状血管瘤是一种非癌性血管增生,起源于头颈部的不同部位。然而,咽旁间隙发生海绵状血管瘤的比例非常小。我们报告一例右侧咽旁海绵状血管瘤,这是一种非常罕见的临床表现。这是一名57岁女性,因咽喉不适3个月就诊。检查发现右上颈静脉二腹肌区有一个柔软、弥漫且无搏动的肿块。增强计算机断层扫描显示右侧咽旁间隙有多处钙化。T2加权磁共振成像显示右侧咽旁间隙肿块呈高信号,有多个静脉石,动态血管造影无异常。通过经颈入路进行手术切除,组织病理学报告显示为伴有钙化血栓的海绵状血管瘤。总之,手术干预是主要治疗方法,本例采用的经颈入路是海绵状血管瘤手术切除最常用的方法。