Gutiérrez Pérez Martha Lucía, Abuchar-Duque María José, Ruiz-Manco Daniel, Maya-Gómez Jose Jorge, Del Castillo Herazo Valeria, Herrera-Ortíz Andrés Felipe, Sánchez-Burbano Nathalia Andrea
Otorhinolaryngology Interest Group UEB (ORLIG-UEB), Bogotá, Colombia.
Medical Doctor. El Bosque University, Colombian School of Medicine, Bogotá, Colombia.
Iran J Otorhinolaryngol. 2024;36(6):681-685. doi: 10.22038/ijorl.2024.75038.3519.
Soft tissue hemangiomas are among the most prevalent soft tissue tumors and can pose diagnostic challenges due to their propensity to extend into various regions. In our case, imaging studies facilitated effective characterization of the mass, and timely intervention with sclerotherapy enabled adequate initial control of the lesion. Subsequently, medical management with propranolol and a second scheduled surgical intervention with sclerotherapy contributed to a reduction in the lesion size, alleviation of symptoms, and improvement in prognosis.
We present a rare case of a giant cervical soft tissue hemangioma with laryngeal extension in an adult female, initially misdiagnosed as a primary laryngeal hemangioma. This case underscores the critical role of diagnostic imaging in assessing the extent of these vascular tumors.
A thorough assessment of the suspected site, as well as the entire head, neck, and chest, should be conducted for all patients with suspected hemangiomas.
软组织血管瘤是最常见的软组织肿瘤之一，由于其易于向各个区域扩展，可能带来诊断挑战。在我们的病例中，影像学检查有助于对肿块进行有效特征描述，及时采用硬化治疗进行干预能够对病变实现充分的初始控制。随后，使用普萘洛尔进行药物治疗以及再次进行硬化治疗的计划性手术干预有助于减小病变大小、缓解症状并改善预后。
我们报告一例成年女性巨大颈部软组织血管瘤并累及喉部的罕见病例，该病例最初被误诊为原发性喉部血管瘤。此病例强调了诊断性影像学在评估这些血管性肿瘤范围方面的关键作用。
对于所有疑似患有血管瘤的患者，都应对疑似部位以及整个头部、颈部和胸部进行全面评估。
