Samanth Rakshitha, Balakrishnan R, Pujary Kailesh, Nayak Deepak, Agrohi Daksh, Vij Inesh
Department of Otorhinolaryngology and Head and Neck Surgery, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka India.
Department of Pathology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka India.
Indian J Otolaryngol Head Neck Surg. 2024 Feb;76(1):1199-1202. doi: 10.1007/s12070-023-04219-w. Epub 2023 Sep 21.
Angiolipoma is a benign mesenchymal tumor and its occurrence in head and neck region is very rare. Only 2 cases of Laryngeal angiolipomas have been reported in the medical literature. We present one such rare case in a 32-year-old male who presented with complaints of change in voice and foreign body sensation in the throat since past 9 months along with features suggestive of obstructive sleep apnoea and dysphagia. Contrast enhanced CT scan of the neck showed a cystic lesion arising from right ventricle extending superiorly till the vallecula, partially obstructing the airway. Suspecting a supraglottic cyst, trans-oral microlaryngoscopic KTP-532 laser assisted excision was planned, intraoperatively a solid tumor was encountered. We discuss herein the clinical presentation and management of this rare neoplasm with review of literature.
血管脂肪瘤是一种良性间叶组织肿瘤,其发生于头颈部区域非常罕见。医学文献中仅报道过2例喉血管脂肪瘤。我们在此呈现1例这样的罕见病例,患者为一名32岁男性,自过去9个月以来出现声音改变和咽部异物感,同时伴有阻塞性睡眠呼吸暂停和吞咽困难的表现。颈部增强CT扫描显示一个从右心室向上延伸至会厌谷的囊性病变,部分阻塞气道。怀疑是声门上囊肿,计划进行经口显微喉镜KTP - 532激光辅助切除,术中发现是一个实性肿瘤。我们在此结合文献复习讨论这种罕见肿瘤的临床表现及治疗。