Chițac, Celesta Drăgulescu, B.
Petrescu, Alexandru Ciucă, M. Vasilca, A. We present the case of a year-old female patient, accusing lipoma papilloma haemorrhage and mild dysphagia. Lipoma papilloma examination, flexible fibroscopy and imaging pointed to a diagnosis of a haemangioma of the right hypopharynx.
A microscopic laryngoscopy procedure was carried out, with intratumoral monopolar electrocauterization which led to a complete retraction of the tumour. The postoperative evolution was favourable, with no postoperative complications or recurrence up to 1-year check-up. Keywords haemangioma, angiography, monopolar electrocauterization Rezumat Autorii prezintă cazul unei paciente în vârstă de 31 de ani care se internează în clinica noastră pentru sângerare exteriorizată oral şi disfagie uşoară.
Pe baza examenului clinic, fibroscopic şi a investigaţiilor imagistice, se pune diagnosticul de formaţiune tumorală vasculară hipofaringiană dreaptă. Se practică prin abord microlaringoscopic electrocauterizarea intratumorală cu ac monopolar, cu retracţia până la dispariţie a hemangiomului faringian.
Evoluţia postoperatorie a fost bună, lipsită de complicaţii lipoma papilloma sau dispnee.
Hemangiomul faringian – caz clinic
Nu s-a constatat recidivă tumorală la ultimul control efectuat la un an postoperator. Cuvinte cheie hemangiom angiografie cauterizare monopolară Case report Haemangiomas are benign tumours originating in the vascular endothelium. They represent a type of tumour rarely encountered in clinical practice, especially in the pharynx, with a small number of cases cited in literature.
The treatment represents a challenge, as there is no agreed-upon standard, lipoma papilloma to the rarity of the disease, the variable clinical aspect, and the location of the tumour. A year-old woman consulted our clinic, accusing two episodes of oral haemorrhage, in moderate quantity, which ceased spontaneously, and mild dysphagia, all occurring in the last month. She had no record of other significant illness of herself or her family. She is a smoker and works as a clinical nurse.
The physical examination and naso-pharyngeal-laryngeal fibroscopic examination revealed a polylobate sessile blueish tumour, approximately 1 cm in lipoma papilloma, located in the right lateral hypopharyngeal wall, extending from the lower edge of the tonsil to the aryepiglottic fold Figure 1.
No abnormalities were lipoma papilloma in the larynx. Lipoma papilloma 1. Polylobulated sessile tumour, blueish in color, with approximately 1 cm in lipoma lipoma papilloma, situated on the right lateral hypopharinx wall Laboratory tests revealed no signs of anaemia or other pathological findings. After contrast administration, the lesion presented intense enhancement Figures 2 a, b and c.
A digital subtraction angiography was carried lipoma papilloma, with selective injection of internal, external carotid and vertebral arteries lipoma papilloma and thyrocervical trunk, which did not reveal any tumoral enhancement or arterial feeders which could be embolised. Figure 2. Lipoma papilloma contrast axial CT showing intense fixation in the tumour; c. Intravenous contrast coronal CT Figure 3.
A surgical approach under general anaesthesia was decided upon. Through microscope-aided direct laryngoscopy, electrocauterization is applied via a monopolar needle lipoma papilloma into the tumour, until complete retraction of lipoma papilloma tumour is achieved Figures 4 a, b and c. It is worth noting that no biopsy was carried out due to the very high risk of haemorrhage. The postoperative treatment consisted of intravenous antibiotic, non-steroid anti-inflammatory drugs and haemostatic drugs.
Figure 4. Intraoperatory image, right hypopharingeal vascular tumour; b. Electrocauterisation by a monopolar needle inserted into the tumour; c. Figure 5. Remission of the haemangioma and edema of the margin of the epiglottis and right arytenoid Next-day fibroscopic examination showed the complete remission of the vascular tumour and the presence of oedema of the right margin lipoma papilloma the epiglottis and the right arytenoid, which diminished in the following days Figure 5.
The patient was discharged 9 days after the procedure. Further follow-ups at 1, 3, 6 and 12 months did not find any recurrence of the tumour Figure 6.
Un copil de 9 ani cu cancer în stadiu terminal se trezește cu o tumoare benignă crescându-i pe inimă. El crecimiento lento y la localización a veces indican que es un tumor lipoma papilloma.
Flexible fibroscopy image of the region on the day of discharge, showing no remaining tumour Discussion Haemangiomas are a class of lipoma papilloma tumours of lipoma papilloma origin. They mostly develop in infants, with an incidence of 2.
Despite this, they are rarely present at the moment of birth.
They are found more often in people of Caucasian descent, with a ratio of females to males. They often have a phase of rapid progression followed by a period of stabilization and regression until the age of 7.
Haemangiomas are found much less often in adult life and they have a different evolution, with progressive growth and no spontaneous involution. Less frequently, they can be found inside the oral cavity, more often on the lips or tongue, or in the nasal cavity, larynx or salivary glands.
Pharyngeal localization is very rare, as there are a relatively small number of cases presented in literature. The macroscopic aspect of a haemangioma is a globular tumour that is reddish or blue in colour, usually sessile, soft, incompressible, non-pulsating and painless. Sometimes it can be covered by normal mucosa, making it harder to differentiate.
Its size varies from a few millimeters to several centimeters, with lipoma papilloma variation from supine to up-right position. Lipoma papilloma, they are classified into capillary and cavernous haemangiomas. They are characterized by endothelial proliferation and hyperplasia, increased turnover and in vitro capillary neoformation.
Traducere "tumor benigno" în română
The Mulliken and Glowacki classification defines them as distinct papilloma nhs vascular malformations, with lipoma papilloma they are often mistaken. The latter are present at birth and have a slow growth through endothelial turnover, with occasional rapid growth periods after local trauma, infections of hormonal changes.
Haemangiomas of the head and neck can be clinically silent and found during lipoma papilloma investigations or they may cause symptoms ranging from foreign body sensation in the oral cavity or throat, nasal obstruction, hearing impairment, dysphagia, dysphonia, up to severe dyspnoea, congestive heart failure or coagulopathy Kasabach-Merrit syndrome.
In some cases, epistaxis, oral haemorrhage or haemoptysis are the first symptoms to appear. Imaging procedures are crucial for the diagnosis of haemangiomas. A fibroscopic examination offers important information about the location and aspect of the tumour, but it cannot be used to estimate its extension.
A Doppler examination can indicate the vascular nature of the pathology. Intravenous contrast CT scan and MRI are important for determining lipoma papilloma extension and nature of the haemangioma.
tumor benigno - Traducere în română - exemple în spaniolă | Reverso Context
MRI typically describes a lobulated, heterogeneous lesion, with well-defined margins, lipoma papilloma an intermediary signal in T1 and moderately-strong signal lipoma papilloma T2, with intense signal enhancement after lipoma papilloma administration of intravenous contrast agents. Digital subtraction angiography can be particularly useful, as it can determine the presence of vascular pedicles, and may be used for embolization as a stand-alone treatment or before surgery.
It is important to note that a biopsy may not be possible due to the high risk of bleeding.
The differential diagnosis of haemangioma must take into account other vascular tumours, such as haemangiopericytoma, haemangioendothelioma, or angiofibroma. Other pathologies must be excluded: foreign body granuloma, submucosal hematoma, other benign tumours cysts, papilloma, fibroma, lymphangioma, lipoma, neurinoma, hamartoma, ectopic thyroid tissue or a malignant lipoma papilloma most often, spinocelular lipoma papilloma and sarcomas. The treatment of haemangiomas in ENT is difficult, as there is no agreed-upon standard.
Most haemangiomas do not require treatment and are simply monitored. Lipoma papilloma pharmaceutical treatment is possible in juvenile cases where corticosteroids can be administered or, more recently, beta-receptor blockers. Criocauterisation and sclerotherapy have been described with variable results.
Embolization may be attempted if there is a suitable vascular pedicle. Wherever possible, complete surgical excision is the most effective treatment method. Choosing any method must take into account the risks during and after surgery that derive from the vascular nature of the tumour. Possible complications include tissue necrosis, infection, oedema or hematoma of the surrounding regions, which can lipoma papilloma to acute respiratory distress, early and late post operatory bleeding, with possible flooding of the airways.
The patient must be properly informed regarding all these risks and must consent to the possibility of blood transfusion, vascular ligation or emergency tracheotomy, if necessary.
The long-term evolution of haemangiomas is spontaneous involution in juvenile cases. In adults who have suffered surgery, recurrence is possible after 3 to 6 months. The particular findings in the case presented: Very rare location of the tumour in an adult, at the pharyngeal level. Oral lipoma papilloma was the reason for consultation and discovery of the pathology. The diagnosis was based on imaging, instead of biopsy, due to the risk of bleeding close to the airways, which is lipoma papilloma to control.
- Hemangiomul faringian – caz clinic
"А где же Ричард.
- Papilloma removal and biopsy
- Papillomavirus slideshare
The surgical treatment is unstandardized and was decided upon after taking into account the risks during and after surgery due to the proximity of large vessels and the airways. Follow-up did not note any recurrence or complications cancer pancreatique neuroendocrine to the present date. Conclusion Haemangiomas are a class of benign vascular tumours, rare in the ENT speciality, especially in adult life, which may remain hidden until severe symptoms appear, such as bleeding, dysphagia or dyspnoea.
The diagnosis relies mainly in fibroscopic examination and imaging, while biopsy should be avoided due to the high risk of haemorrhage. The lack of an international consensus on the treatment strategy represents a challenge for each patient individually.
Choosing any method must take into account the natural progression lipoma papilloma the disease, the risks of treatment and the evolution after treatment. Conflict of interests: The authors declare no conflict of interests. Supraglotic hemangioma as a lipoma papilloma cause of recurrent hemoptysis: A new treatment modality with Argon plasma coagulation. Lechien JR et al. Unusual presentation of an adult pedunculated hemangioma of the oropharinx. Clin Case Rep. Khil EK et al. Nasopharyngeal lipoma papilloma in adult: A case report.
J Korean Soc Radiol.
Gangavati R et al. A review of hemangiomas of the oral cavity.
Head and Neck Surgery, 16th edition. BC Decker. Pyriform sinus haemangioma: an unusual presentation of an unusual condition.